[Treatment of XXXX fractures of posterolateral tibial plateau through a modified anterolateral approach].

@entity1 @entity308 @entity3030 @entity174 @entity2720
OBJECTIVE: To study the therapeutic effects of @entity308 fractures of the tibial plateau through a modified anterolateral approach. METHODS: From February 2011 to January 2012,13 @entity1 with @entity308 fractures of the tibial plateau were treated through a modified anterolateral approach. There were 8 males and 5 females, ranging in age from 28 to 59 years old (49.2 years old on average). Data from @entity1 were collected retrospectively as follows: X-ray, time of @entity174 healing and the complications of @entity174 healing. The @entity1 were evaluated both clinically and radiologically according to the Rasmussen score system. RESULTS: All the @entity1 were followed up, and the duration ranged from 6 to 18 months (mean 13.7 months). All the @entity1 got bony union. The average radiographic bony union time was 15.1 weeks (ranged, 11 to 17 weeks). No case of secondary articular @entity308 was found. No complications such as @entity2720 were found. But 1 @entity1 had superficial infection and 1 @entity1 had common @entity3030 . According to the Rasmussen score system,the mean radiological score was 16.50    0.67 (ranged, 13 to 18), and the mean functional score was 25.20    2.21 (ranged, 13 to 30). The mean range of knee motion was (125.3    9.3)   (ranged, 0   to 135  ). CONCLUSION: Treatment of @entity308 fractures of posterolateral tibial plateau with a modified anterolateral approach is a safe method with effective exposure, due to its stable fixation and relatively good outcome with minimal soft-tissue complications. It is regarded as an ideal procedure for @entity308 fractures of posterolateral tibial plateau.
