胫骨平台后髁骨折的诊断和治疗进展  

Progress in diagnosis and treatment of posterior condylar fracture of tibial plateau

作　　者：段凯迪 黄建荣[1] DUAN Kai-di;HUANG Jian-rong(Department of Orthopedic Trauma,Sun-yat-sen Memorial Hospital,Guangzhou 510288,Guangdong,China)

机构地区：[1]中山大学孙逸仙纪念医院创伤骨科,广东广州510288

出　　处：《中国骨伤》2019年第12期1173-1176,共4页China Journal of Orthopaedics and Traumatology

摘　　要：胫骨平台后髁骨折是指胫骨内外侧平台后1/3区的骨折,与Schatzker、AO等其他临床分型相比,三柱理论在诊断、治疗胫骨平台后髁骨折中应用更为广泛。开放手术治疗中常用的后侧、外侧相关入路以及环形外固定架、球囊扩张等微创治疗方法在学习曲线、术中风险、治疗效果等方面各有利弊,对于最佳术式尚无共识。本文就胫骨平台后髁骨折的诊断、分型、治疗方法等方面做一综述。The posterior condylar fracture of the tibial plateau refers to the fracture of the posterior 1/3 area of the tibial plateau.Compared with other clinical types such as Schatzker and AO,the three-column theory is more widely used in the diagnosis and treatment of the posterior condylar fracture of the tibial plateau.There are advantages and disadvantages in learning curve,intraoperative risk and therapeutic effect of minimally invasive methods such as posterior and lateral related approaches,circular external fixator and balloon dilatation,which are commonly used in open surgery.There is no consensus on the best surgical method.This article reviews the diagnosis,classification and treatment of posterior condylar fracture of tibial plateau.

关 键 词：胫骨骨折 诊断 临床方案 综述 

分 类 号：R683[医药卫生—骨科学]