Posteromedial and posterolateral tibial plateau fractures after homeopathic double reverse traction, minimally invasive reduction and raft technique

Abstract

Objective To analyse the effects of homeopathic double-reverse traction with medial and lateral percutaneous double plate in the treatment for posteromedial and posterolateral tibial plateau fractures, and further analysis the quality of restoration and functional recovery. Methods A retrospective collection of 19 cases of posteromedial and posterolateral tibial plateau fractures in the department of Trauma and Orthopaedics of Qilu Hospital from September 2015 to December 2017, including 11 males and 8 females, aged 37-73 years old, with an average of 56.71 years old. All patients underwent homeopathic double-reverse traction closed reduction and medial and lateral percutaneous double plate were used, reduction were using X-ray and three-dimensional CT scan. Meanwhile functional recovery were followed-up. Results Seventeen patients were followed up for 6 to 14 months (mean 10.1 months). All fractures were healed without malunion and nonunion. One case had poor healing of the incision, and the incision healed after dressing change. Patients were evaluated with the US Special Surgery Hospital (HSS) knee score, excellent in 14 cases, and good in 3 cases. Conclusions The posteromedial and posterolateral tibial plateau fractures with homeopathic double-reverse traction, minimally invasive technique and double-plate raft technique have rapid intraoperative reduction and less soft tissue complications, which can avoid fracture collapse and malformation. This method is an effective method for the treatment of posteremedial and posterolateral tibial plateau fractures and worthy clinical recommendation. Key words: Tibial fractures; Surgical procedures, Minimally invasive; Internal fixation