胫骨平台后侧骨折的诊断及手术治疗进展  

Progress of the Diagnosis and Treatment of Posterior Tibial Plateau Fractures

作　　者：徐磊[1] 夏江[1] 

机构地区：[1]皖南医学院弋矶山医院手足外科,安徽芜湖241001

出　　处：《沈阳医学院学报》2016年第6期494-497,共4页Journal of Shenyang Medical College

摘　　要：目前,很多的骨科医师开始关注胫骨平台后侧骨折。由于胫骨平台后侧骨折的特殊性和严重性,在分型和治疗上存在很多争议。通过传统的手术方式很难实现理想的固定和复位。改良的后侧入路是治疗胫骨平台后侧骨折的理想手术入路,但仍然存在较多缺点。胫骨平台后侧骨折常用的内固定方式有拉力螺钉、加压钢板、锁定钢板、T型钢板等。本文总结了近年来国内外有关胫骨平台后侧骨折的分型、手术入路,以及内固定方式的最新进展。The posterior tibial plateau fracture is drawing increasing attention from orthopedists in recent years. Due to the particularity and severity of posterior tibial plateau fracture, there is still controversy in its classification and treatment. It is very difficult to achieve the ideal reduction and fixation by conventional techniques and approaches. The modified posterior approach is favorable for posterior tibial plateau fracture, but disadvantages remain. The commonly used inner fixations to treat posterior tibial plateau fracture are lag-screws, compressing plate, locking plate and T-shaped plate. This paper summarizes the classification, approaches and internal fixations of posterior tibial plateau fractures.

关 键 词：胫骨平台 骨折 诊断 手术治疗 

分 类 号：R687.3[医药卫生—骨科学]