[1]涂冬鹏,张文恺,范鑫,等.胫骨平台后内侧骨折的研究进展[J].中医正骨,2019,31(09):46-49.
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胫骨平台后内侧骨折的研究进展()
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《中医正骨》[ISSN:1001-6015/CN:41-1162/R]

卷:
第31卷
期数:
2019年09期
页码:
46-49
栏目:
综 述
出版日期:
2019-09-20

文章信息/Info

作者:
涂冬鹏1; 张文恺1; 范鑫1; 俞益康1; 许超2
(1.浙江中医药大学第二临床医学院,浙江 杭州 310053; 2.浙江中医药大学附属第二医院,浙江 杭州 310005)
关键词:
胫骨骨折;  胫骨平台;  综述
摘要:
胫骨平台后内侧骨折属关节内骨折,损伤机制复杂,治疗起来较为棘手,因此选择合理的治疗方案显得尤为重要。目前手术仍是临床治疗胫骨平台后内侧骨折最有效的方法,但哪种内固定方法才是治疗此类骨折的最佳方法尚存较大争议。本文从胫骨平台后内侧骨折的损伤机制、特点、治疗、手术入路、手术时机5个方面对胫骨平台后内侧骨折的研究进展进行了综述,以期提高临床医师对胫骨平台后内侧骨折的认识。

参考文献/References:

[1] 王军,赵春鹏,李庭,等.胫骨平台骨折中后内侧和后外侧骨折块的发生率及影像学特点[J].中华创伤骨科杂志,2015,17(7):565-569.
[2] TANIFUJI O,SATO T,KOBAYASHI K,et al.Three-dimensional in vivo motion analysis of normal knees using single-plane fluoroscopy[J].J Orthop Sci,2011,16(6):710-718.
[3] SOHN H S,YOON Y C,CHO J W,et a1.Incidence and fracture motphology of posterolateral fragments in lateral and bicondylar tibial plateau fractures[J].J Orthop Trauma,2015,29(2):91-97.
[4] IMMERMAN I,BECHTEL C,YILDIRIM G,et al.Stability of the posteromedial fragment in a tibial plateau fracture[J].J Knee Surg,2013,26(2):117-126.
[5] MARSH J L,SLONGO T F,AGEL J,et al.Fracture and dislocation classification compendium-2007:Orthopaedic Trauma Association classification,database and outcomes committee[J].J Orthop Trauma,2007,21(10 Suppl):S1-133.
[6] CHEN P,SHEN H,WANG W,et a1.The morphological features of different Schatzker types of tibial plateau fractures:a three-dimensional computed tomography study[J].J Orthop Surg Res,2016,11(1):94.
[7] 罗从风,胡承方,高洪,等.基于CT的胫骨平台骨折的三柱分型[J].中华创伤骨科杂志,2009,11(3):201-205.
[8] ZELTSER D W,LEOPOLD S S.Classifications in brief:Schatzker classification of tibial plateau fractures[J].Clin Orthop Relat Res,2013,471(2):371-374.
[9] 叶长青,汪涛,张海林,等.损伤控制理论和四柱分型理论在高能量胫骨平台骨折治疗中的应用[J].中医正骨,2018,30(1):59-61.
[10] MILLAR S C,ARNOLD J B,THEWLIS D,et al.A systematic literature review of tibial plateau fractures:What classifications are used and how reliable and useful are they?[J].Injury,2018,49(3):473-490.
[11] MOLENAARS R J,SOLOMON L B,DOORNBERG J N.Articular coronal fracture angle of posteromedial tibial plateau fragments:A computed tomography fracture mapping study[J].Injury,2019,50(2):489-496.
[12] HIGGINS T F,KEMPER D,KLATT J.Incidence and morphology of the posteromedial fragment in bicondylar tibial plateau fractures[J].J Orthop Trauma,2009,23(1):45-51.
[13] BAREI D P,O'MARA T J,TAITSMAN L A,et al.Frequency and fracture morphology of the posteromedial fragment in bicondylar tibial plateau fracture patterns[J].J Orthop Trauma,2008,22(3):176-182.
[14] EL-ALFY B,ALI K A,EL-GANINEY A.Bicondylar tibial plateau fractures involving the posteromedial fragment:morphology based fixation[J].Acta Orthop Belg,2016,82(2):298-304.
[15] CUÉLLAR V G,MARTINEZ D,IMMERMAN I,et al.A biomechanical study of posteromedial tibial plateau fracture stability:Do they all require fixation?[J].J Orthop Trauma,2015,29(7): 325-330.
[16] LUO C F,JIANG R,HU C F,et al.Medial double-plating for fracture dislocations involving the proximal tibia[J].Knee,2006,13(5): 389-394.
[17] YOO B J,BEINGESSNER D M,BAREI D P.Stabilization of the posteromedial fragment in bicondylar tibial plateau fractures:a mechanical comparison of locking and nonlocking single and dual plating methods[J].J Trauma,2010,69(1):148-155.
[18] GÖSLING T,SCHANDELMAIER P,MARTI A,et al.Less invasive stabilization of complex tibial plateau fractures:a biomechanical evaluation of a unilateral locked screw plate and double plating[J].J Orthop Trauma,2004,18(8):546-551.
[19] BHATTACHARYYA T,MCCARTY L P 3rd,HARRIS M B,et al.The posterior shearing tibial plateau fracture:treatment and results via a posterior approach[J].J Orthop Trauma,2005,19(5):305-310.
[20] HSIEH C H,HUANG H T,LIU P C,et al.Anterior approach for posteromedial tibial plateau fractures[J].Kaohsiung J Med Sci,2010,26(3):130-135.
[21] LUO C F,SUN H,ZHANG B,et al.Three-column fixation for complex tibial plateau fractures[J].J Orthop Trauma,2010,24(11): 683-692.
[22] ZENG Z M,LUO C F,PUTNIS S,et al.Biomechanical analysis of posteromedial tibial plateau split fracture fixa-tion[J].Knee,2011,18(1):51-54.
[23] HAKE M E,GOULET J A.Open reduction and internal fixation of the posteromedial tibial plateau via the lobenhoffer approach[J].J Orthop Trauma,2016,30 Suppl 2:S35-36.
[24] 窦强兵,孙良业,凤晓翔,等.后内侧切口T形钢板治疗胫骨平台后内侧骨折[J].中国矫形外科杂志,2018,26(6):505-509.
[25] 詹开喜,王以进,华全科,等.胫骨平台后侧解剖型钢板治疗胫骨平台后侧骨折的生物力学研究[J].中华创伤杂志,2010,26(11):991-994
[26] CHIU C H,CHENG C Y,TSAI M C,et al.Arthroscopy-assisted reduction of posteromedial tibial plateau fractures with buttress plate and cannulated screw construct[J].Arthroscopy,2013,29(8):1346-1354.
[27] 顾三军,李海峰,芮永军,等.关节镜下微创治疗胫骨平台后柱骨折[J].中华创伤骨科杂志,2016,18(4).351-354.
[28] 陈良,陈巧杰,庞清江.仰卧位后内侧入路治疗胫骨平台后内侧骨折26例[J].中华危重症医学杂志(电子版),2014,7(6):46-47.
[29] 陈刚,左海明,叶茂,等.后内侧入路手术治疗胫骨平台后内侧骨折[J].实用骨科杂志,2012,18(11):1041-1043.
[30] CHEN H W,PAN J,YI X H,et al.A posteromedial approach for open reduction and internal fixation of posteromedial tibial plateau fracture[J].Acta Orthop Belg,2016,82(2):258-264.
[31] 汪青,徐峰,杨小海,等.后内侧和/或后外侧入路内固定治疗胫骨平台后侧柱骨折[J].中医正骨,2017,29(6):53-55.
[32] 李增春,李国风,韩宁,等.经内侧入路治疗胫骨平台后内侧骨折的手术疗效[J].复旦学报(医学版),2012,39(2):172-175.
[33] SINHA S,SINGH M,SARAF S K,et al.Fixation of posterior tibial plateau fracture with additional posterior plating improves early rehabilitation and patient satisfaction[J].Indian J Orthop,2019,53(3):472-478.
[34] CHANG S M,WANG X,ZHOU J Q,et al.Posterior coronal plating of bicondylar tibial plateau fractures through posteromedial and anterolateral approaches in a healthy floating supine position[J].Orthopedics,2012,35(7):583-588.
[35] 杨成刚.关节镜辅助治疗胫骨平台后髁骨折[J].中华医学杂志,2012,92(31):2222-2224
[36] KOKKALIS Z T,ILIOPOULOS I D,PANTAZIS C,et al.What's new in the management of complex tibial plateau fractures?[J].Injury,2016,47(6):1162-1169.
[37] XU Y Q,LI Q,SHEN T G,et al.An efficacy analysis of surgical timing and procedures for high-energy complex tibial plateau fractures[J].Orthop Surg,2013,5(3):188-195.
[38] 张红岗,吴坚,杨跃争.复杂胫骨平台骨折手术时机与手术方式的选择及疗效观察[J].中国实用医刊,2018,45(23):52-54.

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备注/Memo

备注/Memo:
(收稿日期:2019-06-30 本文编辑:时红磊)
更新日期/Last Update: 2019-09-15