Abstract:
Objective 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.
Methods 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.
Results 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%.
Conclusion 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.
Key words:
Tibail fractures,
Fracture fixation, internal,
Bidirectional taction
Feilong Bao, Tao Liu, Shijie Kang, Dongsheng Huang, Tao Jiang, Yiming Hu. The advantage of homeopathic double reverse traction device treating tibial plateau fractures of typing Schatzker Ⅴ and Ⅵ[J]. Chinese Journal of Geriatric Orthopaedics and Rehabilitation(Electronic Edition), 2018, 04(05): 266-270.