Schatzkerâ…¡ Tibial Plateau Fracture Imaging Evaluation And Correlation Of Joint Function

Objective:To objective evaluation of the Schatzker II tibial plateau fractures platform collapse, angulation, and platform widened the overall degree of displacement associated with the knee joint function, the choice for the treatment and after treatment to provide an objective assessment of prognosis based on a view improve the quality of life of patients.Conclusion:Schatzker II type of tibial plateau fracture treatment, fracture on the simple factors, the knee function in the case with the entire platform reset related to reduction of the platform the better knee function, the better.Methods:A retrospective study approach, according to inclusion criteria, sequential manner to the hospitalization of 30 cases of Schatzker II type of tibial plateau fracture study. In the X-ray results on the extent of displacement of the tibial plateau to measure and assess strict typing, and thus should be the imaging rate.Well after admission of the preoperative preparation, the affected side with open reduction and internal fixation and plaster fixation, guided limb functional training,6 months after operation underwent knee, the lateral X-ray examination, using Rasmussen imaging scoring pairs of articular surface compression, the platform widened, both inside and outside corner to rate translated to assess the reduction of fractures., Fill in the Rasmussen score sheet Rasmussen scoring system used for fracture surgery is suffering from knee pain, walking capacity, stretched stagnation lack the degree of risk of knee stability, activity in areas such as ratings. And then imaging score and knee function score were analyzed. Knee function score to the healthy side served as controls.Results:1.Schatzker II tibial plateau fractures, shifting (platform collapse, widened angle and the overall damage) significantly improved compared with preoperative. (P<0.05)2. Knee function results and score:The group of 30 cases,6 months after treatment follow-up, knee function score lowest score 20 points, highest score 28 points, an average of 25.27±2.18, contralateral score 30 points,2 There were significant differences (P<0.05).3.6 month review of X-ray on the tibial plateau fracture displacement after reduction, including the platform to collapse into a corner and broadening these three areas, and knee function in no correlation (rs collapse=0.058, rs broadening=0.07, rs angled=0.046; p<0.05), while the knee injury after reduction of the total score and the correlation between knee function (rs after injury in the total score=0.409, p=0.034<0.05).Conclusion:1. Schatzker II type of tibial plateau fracture treatment, fracture on the simple factors, the knee function in the case with the entire platform reset related to reduction of the platform the better knee function, the better. 2. For the SchatzkerⅡtype of the tibial plateau fracture, surgical treatment can significantly improve the platform, degree of injury (including the platform collapsed, widened, and into the corner case), after emergence of a high degree of loss of the tibial plateau.3. Knee function in follow-up at the end is not fully recovered.