The Reduction Satisfaction Rate And Complication Rate Of Surgical Approaches Of The Posterior Column Fractures Of Tibial Plateau:a Meta-analysis

Objective:Collect and re-analyze published surgical approach studies for posterior column fractures of tibial plateau,extract and reprocess the data,and obtain the reduction satisfaction rate and complication rate of different surgical approaches..Methods:Search both Chinese and English articles from well-known databases(PubMed,Cochrane library,Google schoolar,CNKI,Wanfang database)to obtain documents,after quality evaluation,re-analysis data using stata 12.0.Conclusion:The current surgical approaches provide a high success rate and low complication rate in the treatment of tibial plateau fracture;The difference of the therapeutic effect of different surgical approaches is not significant,but the incidence of complications is different,among which the incidence of complications of inverted L-type approach and Frosch modified posterior lateral approach is significantly higher than that of other approaches;The inverted L-type posterior medial approach and the modified posterior lateral approach of Frosch can provide a larger field for the treatment of simple tibial plateau posterior column fracture,which has unique advantages;However,if the posterior column fracture is accompanied by complex two or three column fractures,the inverted L-type and Frosch modified posterior lateral incision can be avoided when choosing the double incision to ensure the operation effect,and reduce the complications.