探讨双反牵引装置结合钢针撬拨闭合复位，骨膜外置入双钢板固定治疗Schatzker Ⅴ、Ⅵ型胫骨平台骨折的优势。

回顾性分析2015年10月至2017年6月在山东大学齐鲁医院（青岛）创伤骨科应用双反牵引、微创内固定手术治疗Schatzker分型为Ⅴ型、Ⅵ型的胫骨平台骨折23例，术中应用双反牵引装置，在膝关节周围韧带及关节囊的自身张力牵引下，结合钢针撬拨闭合复位，骨膜外置入双钢板固定，术后根据Rasmussen影像学评价标准进行评分，测量膝关节活动度和美国特种外科医院膝关节评分（HSS）对膝关节功能进行评分。

所有患者均获得随访，随访时间平均为（9±5）个月。末次随访时膝关节屈曲平均（125±9）°，伸直平均（2.7±2.1）°。所有患肢均恢复正常力线，患膝稳定。Rasmussen影像学评分优18例，良5例，优良率100%；HSS评分平均为（86±8）分，其中优19例，良3例，可1例，优良率为95.7%。

双反牵引装置可以提供有效牵引力，并能维持断端，给术者提供了良好的操作环境，临床疗效满意。

To explore the advantage of homeopathic double reverse traction device combined with closed reduction and percutaneous insertion of dual plate in the treatment of Schatzker Ⅴ and Ⅵ tibial plateau fractures.

From October 2015 to June 2017, 23 Schatzker Ⅴ and Ⅵ tibial plateau fractures admitted to the trauma center of Qilu Hospital of Shandong University (Qingdao) were included into this retrospectively study. All the patients were treated using homeopathic double reverse traction device, by means of ligamentotaxis and tension of capsule surrounding the knee, combined with percutaneous joystick and plate fixation. The reduction was evaluated according to Rasmussen radiological system, and the functional recovery of the knee was evaluated by the rang of motion and HSS score.

All patients were followed up for (9±5) months. At the final follow up, the mean flexion angle was (125±9)°and the mean extension angle was (2.7±2.1)°. All patients obtained a stable, normal mechanical axis of knee. Rasmussen radiological scoring system was excellent in 18 cases, good in 5 cases, excellent rate was 100%; HSS knee score was (86±8) points, among which 19 cases were excellent, 3 cases were good, 1 case was fair, and the excellent and good rate was 95.7%.

Homeopathic double reverse traction device can provide effective traction and stable the broken ends, providing the surgeon a good operating environment and the clinical outcome is satisfied.