Abstract
We reviewed treament results of 13 cases of tibial plateau fractures which underwent open operations. The operations were conducted on 13 joints on all the 13 cases in six male and seven female patients. Their ages range from 16 to 79, with the average of 53.4. Causes of the fractures include 12 cases of traffic accident and one case of a fall. Types of fractures are in accordance with the Hohl classification. The following is the breakdown: three cases of minimally displaced joints, three cases of split compression, two cases of total compression, four cases of comminuted and one case that was unclassifiable. In all the 13 cases a plate was used for fixation during an operation and a bone graft was performed in two severe depression and comminution cases. As to postoperative therapy, the patients participated in excursion training via CPM without external fixation from the early stage of the postoperative phase. The outcome of the treatment was judged based on the Hohl & Luck Treatment Outcome Evaluation Standard. The results showed “excellent”in 10 cases and “good”in 3 cases in the anatomical evaluation; “excellent”in 12 cases and “fair”in 1 case in the functional evaluation. The arthroscopy conducted four to six weeks after each operation verfied the repair status of articular cartilage, thus was helpful as an index in determining when to start weight bearing.
