Comparison Of The Surgical Treatment Effects Of The Collapsed Tibial Plateau Fractures With Two Types Of The Locking Plates

Objective：To evaluate the surgical treatment effects of the collapsed tibialplateau fractures with golf-shape locking proximal plate and the lockingcompression plate of proximal lateral of rafting technique.Methods:26cases tibial plateau fractures were analyzed. According toSchatzker classification criteria,13cases were II type,2cases were III type,2cases were IV type,3cases were V type and6cases were VI type.16cases weretreated with golf-shape locking plate and10cases were treated by the lockingcompression plate of proximal lateral of rafting technique. Results：24caseswere up from12to24months, averagely15months. All fractures healed.According to HSS knee score, the excellent and good rates of the group ofgolf-shape locking proximal plate (70.3%) and of the group of lockingcompression plate of proximal lateral of rafting technique(80.0%). The rate ofcollapse of tibial plateau of the former was11.2%, the latter’s was6.3%.Therewere no difference between the tow groups statistically for operative time,fracture healing time,time of full weight bearing, the tibial plateau angle（TPA）and posterior slope angle（PA）after operation.(P＞0.05). Conclusion： The surgical treatment effect of the collapsed tibial plateau fractures with the lockingcompression plate of proximal lateral of rafting technique was similar to thatwith the golf-shape locking proximal plate, but the former has more advantagesthan the latter.