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German Congress of Orthopaedics and Traumatology (DKOU 2019)

22. - 25.10.2019, Berlin

Comprehensive evaluation and treatment strategy of tibia plateau fracture with knee dislocation

Meeting Abstract

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  • presenting/speaker Zhe Song - Honghui Hospital,Xian Jiaotong University, Xian, China
  • Yangjun Zhu - Honghui Hospital,Xian Jiaotong University, Xian, China
  • Kun Zhang - Honghui Hospital,Xian Jiaotong University, Xian, China

Deutscher Kongress für Orthopädie und Unfallchirurgie (DKOU 2019). Berlin, 22.-25.10.2019. Düsseldorf: German Medical Science GMS Publishing House; 2019. DocAB43-86

doi: 10.3205/19dkou368, urn:nbn:de:0183-19dkou3689

Published: October 22, 2019

© 2019 Song et al.
This is an Open Access article distributed under the terms of the Creative Commons Attribution 4.0 License. See license information at



Objectives: To achieve the best functional outcome possible with a minimum of complications,it is important to develop a treatment algorithm or protocol. Our article involves a high index of the discussion for the comprehensive evaluation, surgical treatment and clinical efficacy of tibia plateau fracture with knee dislocation.

Methods: 41 cases of tibia plateau fractures with knee dislocation were treated in our department between June 2012 and June 2016. There were 26 males and 15 females with an average age of 43.6(19-65) years-old. Comprehensive preoperative imaging examinations (X-ray films and CT scan), and carefully and accurate assessment for the state of blood vessels, nerves, fracture and ligament were taken for all patients. Lateral and medial combined approach is adopted for the rigid internal fixation of fracture and ligament repairment after the anatomical reduction of fractures and dislocations. All the patients were followed with the time of fracture healing, Rasmussen radiographic scores and HSS knee functional scores.

Results: 41 cases were followed for an average of 14.8 months (12 to24 months). All fractures healed for a mean time of 11.6 weeks(10 to 14 weeks. Rasmussen radiographic scores at 12 months after surgery: excellent in 29 cases, good in 7 cases, fair in 3 cases, poor in 2 cases. HSS knee functional scores at last follow-up: excellent in 27 cases, good in 8 cases, fair in 3 cases, poor 3 cases, good rate:85.4%.

Conclusion: Tibia plateau fractures with knee dislocation should be attached importance to the comprehensive evaluation of the fractures, ligaments around the knee joint, blood vessels, nerves and local soft tissues, prevent the osteofascial compartment syndrome, the misdiagnosis and misdiagnosis of the injuries of blood vessels and nerves, perform the anatomical reduction and rigid internal fixation of fractures after definitive diagnosis and recovery of soft tissues, and give the consideration to the recovery and reconstruction of the dislocation of knee joint at the same time, to ensure that the early functional exercise of knee joint and obtain the satisfied clinical efficacy.