顺势复位固定微创治疗胫骨平台骨折  

Homeopathic reduction and fixation for minimally invasive treatment of tibial plateau fracture

作　　者：张英泽[1] Zhang Yingze(Hebei Medical University Third Hospital,Orthopaedic Institution of Hebei Province,Key Laboratory of Orthopaedic Biomechanics of Hebei Province,Shijiazhuang 050051,China)

机构地区：[1]河北医科大学第三医院,河北省骨科研究所,河北省骨科生物力学重点实验室,石家庄050051

出　　处：《中华骨科杂志》2023年第22期1473-1476,共4页Chinese Journal of Orthopaedics

摘　　要：创伤骨科已经迈入微创时代.微创不单是追求"微小"的手术切口,而是基于减少次生损伤、个体化治疗、术后快速康复等理念下的完整治疗体系.胫骨平台骨折具有复杂的解剖、功能属性及骨折特点,传统治疗理念中强调的"解剖复位"与"微创治疗"常难以兼得.经过40多年不断地摸索和总结,以顺势复位理论为基础,采用顺势双反牵引复位器闭合复位,不打开关节囊、不损伤韧带和半月板、微创固定治疗胫骨平台骨折的核心复位固定体系被提出,并得到越来越广泛的认可.需注意骨折线是否累及核心负重区,遵循"核心为要、微创为先、兼顾复位"的原则,倡导术后个体化康复,最大限度减小创伤、恢复膝关节功能.微创固定治疗胫骨平台骨折的核心复位固定体系必将引发更多关于微创的思考与创新成果的涌现.Traumatic orthopedics has entered the minimally invasive era.Minimally invasive is not only the pursuit of"small"surgical incisions,but rather a complete treatment system based on the concepts of reducing secondary injury,individualized treatment,and rapid postoperative rehabilitation.Tibial plateau fracture has complex anatomical,functional properties and fracture characteristics,and it is often difficult to achieve both"anatomical reduction"and"minimally invasive treatment"emphasized in traditional treatment concepts.After more than 40 years of continuous exploration and summary,on the basis of homeopathic reduction theory,the core reduction fixation system using homeopathic bidirectional traction reducers for closed reduction,without opening the joint capsule,without damaging the ligament and meniscus,and minimally invasive fixation for the treatment of tibial plateau fractures has been proposed and has been more and more widely recognized.At the same time,it is necessary to pay attention to whether the fracture line involves the core weight-bearing area,follow the principle of"core area is important,minimally invasive is the first,taking into account reduction"and advocate individualized rehabilitation after surgery to minimize trauma and restore knee joint function.The core reduction fixation system for the treatment of tibial plateau fracture with minimally invasive fixation will certainly lead to more thoughts on minimally invasive and innovative results.

关 键 词：胫骨骨折 最小侵入性外科手术 骨牵引复位法 骨折闭合复位 

分 类 号：R687.3[医药卫生—骨科学]