Bilateral external fixator combined with limited internal fixation for the treatment of open fracture of tibial plateau / 中国基层医药

ABSTRACT

Objective To explore the clinical outcome of self-designed bilateral external fixator combined with limited internal fixation for the treatment of open fracture of tibial plateau.Methods From February 2001 to September 2005,23 cases of open tibial plateau fractures were treated with bilateral external fixator combined with limited internal fixation.According to Schatzker classification,there were 35 patients with type Ⅴ fracture and 18 patients with type Ⅵ fracture.According to Gustilo classification,there were type Ⅰ in 15 eases,type Ⅱ in 22 cases, type Ⅲ in 16 cases.Results The follow-up period was 5 to 22 months(mean 10 months).All the fractures got unit- ed.According to Merchant grade,18 eases were evaluated as excellent,25 as good,9 as fair.The rate of excellent and good resuhs was 83 %.Conclusion Operation by using bilateral fixator combined with limited internal fixator can make fixation stable and reduce complication.It is an effective method to treat complex fractures of open tibial plateau.