累及后外侧髁胫骨平台的骨折与植入物选择及修复

发布时间：2018-03-17 21:35

本文选题：胫骨　切入点：骨折　出处：《中国组织工程研究》2017年23期 　论文类型：期刊论文

【摘要】：背景:胫骨后外侧平台位置深在,局部解剖关系复杂,且存在腓骨头及膝关节后外侧复合体等结构阻挡,对该骨折块的显露、固定较困难。目的:分析胫骨平台后外侧骨折的解剖学特点,形态学特征及骨折分型,比较治疗胫骨平台后外侧骨折的不同手术入路及内固定材料的选择。方法:由第一作者通过计算机检索1990到2016年Pub Med数据库和中国知网(CNKI)数据库收录的相关文献。英文检索词为"tibial plateau;postero-lateral fragment;fixation",中文检索词"胫骨平台;后外侧骨折;内固定"。总结胫骨平台后外侧骨折的解剖学特点,形态学特征及骨折分型,比较分析治疗胫骨平台后外侧骨折的不同手术入路及内固定材料的选择。结果与结论:胫骨平台后外侧骨折需遵循关节内骨折治疗原则,即修复关节面平整,恢复下肢力线,保留无痛的关节活动度。胫骨平台骨折分型主要有Schatzker分型、AO分型、"三柱理论"等,不论哪种分型均尚需完善。对于胫骨平台后外侧骨折的治疗入路选择要根据骨折的不同类型选择不同的入路。生物力学实验表明,后外侧支撑钢板的生物力学优势更明显,可以有效避免骨折块的剪切力造成的复位丢失。
[Abstract]:Background: the posterior lateral tibial plateau is deep in position, the local anatomic relationship is complex, and the fibula head and the posterolateral complex of the knee joint are blocked. Objective: to analyze the anatomical features, morphological features and fracture types of posterolateral tibial plateau fractures. To compare the different operative approaches and internal fixation materials for the treatment of posterolateral tibial plateau fractures. Methods: the first author searched the relevant documents collected from Pub Med database and CNKI database from 1990 to 2016 by computer. ... 'tibial plateau' postero-multilateral fragment fixation', Chinese 'tibial platform'; Posterolateral fracture; Internal Fixation. The anatomical characteristics, morphological characteristics and fracture types of posterolateral tibial plateau fractures are summarized. Results and conclusion: the internal fracture of tibial plateau should be treated according to the principle of intra-articular fracture, that is, repairing the articular surface leveling and restoring the lower extremity force line, comparing and analyzing the different operative approaches and the choice of internal fixation materials for the treatment of posterolateral tibial plateau fracture. The main types of tibial plateau fractures include Schatzker classification and AO classification, "three columns theory", etc. For the treatment of posterolateral tibial plateau fractures, different approaches should be chosen according to different types of fractures. Biomechanical experiments show that the biomechanical advantages of posterolateral supporting plates are more obvious. It can effectively avoid the loss of reduction caused by shear force.
【作者单位】：天津医院创伤膝关节二病区;天津医院脊柱二病区;
【基金】：国家自然科学基金项目(81472140)~~
【分类号】：R687.3

【相似文献】