关键词: 胫骨平台, 骨折, 连续被动活动

Abstract: 【Abstract】 Objective To investigate the prognostic influence factors for tibial plateau fracture through clinical treatment and observation. Methods Sixty-two cases with tibial plateau fracture of were were collected in our hospital from January 2006 to December 2011. Among them, cases were treated by operation and the others(19 cases)were treated by non-operation. Results All the patients were followed up from 2 months to 5 years and the average follow-up period was 2.8 years. The excellent and good rates of tibial plateau fracture were 88.4% in operation group and 73.7% in non-operation group according to Lyslom's criteria. The prognosis of Schatzker Ⅰ, Ⅱand Ⅲ were significantly better than that of Ⅳ, Ⅴ and Ⅵ respectively (P<0.05). There was no significant difference in the excellent and good rates between males and females (P>0.05). The excellent and good rates of patients who were treated within 8 hours were significantly higher than that over 8 hours after the fracture (P<0.05), and the patients above 60 year-old were worse than those under 60 years old. Three cases of patients were found traumatic arthritis, and 2 patients had articular surface collaps in different degree. Conclusion Surgical treatment is an effective method for tivial plateau fracture. The type of tibial plateau fractures, the means of treatment and the selection of operative timing,early functional exercises and the age of patients have a significant impact on patient's prognosis.

Key words: Tibial Plateau, Fracture, Continuous passive movement