外侧支撑钢板加压螺钉系统治疗胫骨平台双髁骨折

目的]探讨外侧支撑钢板辅以加压螺钉治疗胫骨平台双髁骨折的效果以及影响手术效果的因素。方法]回顾性分析本院自2000～2004年收治高能量伤所致胫骨平台双髁骨折患者46例，均采用了切开复位，外侧支撑钢板辅以加压螺钉内固定治疗，通过复查术后关节功能和影像资料判断手术效果。结果]46例获得随访，平均随访14.4月（12～18个月）。骨折全部愈合，功能评价采用Rasmussen胫骨髁部骨折膝关节功能评分，优良率为84．8％。结论]外侧支撑钢板辅以加压螺钉治疗胫骨平台双髁骨折，可以提供良好的固定，降低并发症的发生。

Treatment of bicondylar tibial plateau fractures with lateral supporting plate and compression screw system

Objective]To investigate the treating effect of bicondylar tibial plateau fractures with lateral supporting plate and compression screw system.Method]Forty-six cases of bicondylar tibial plateau fractures were treated with internal fixation from the year of 2000 to 2004 in our hospital.All of them were treated with open reduction and internal fixation by lateral supporting plata and compression screw system.Orthopaedic evaluation at latest follow-up included a knee functional outcome and radiographic examination.Result]Forty-six cases were followed up for 12 to 18 months(averaged,14.4 months).All fractures healed.According to Rasmussen scale,84.8% excellent and good results were obtained.Conclusion]Most of all bicondylar tibial plateau fractures were stabilized by applying lateral supporting plate and compression screw system.This system help reduce complication rates resulting from open reduction and internal fixation.