重视关节内骨折的治疗

Treatment of intra articular fractures

本期《中华创伤骨科杂志》是以“关节内骨折”为主要内容的重点刊,涉及下肢的胫骨平台骨折、髌骨骨折、Pilon骨折、跟骨骨折及上肢的肩胛盂骨折、桡骨远端骨折的手术治疗。关节内骨折,特别是高能量的损伤由于骨折移位、关节塌陷及软组织损伤等增加了治疗的难度。治疗上根据关节内骨折的特点应做到:对骨折损伤正确判断,把握手术时机,应用微创技术,尽可能达到骨折的解剖复位及对线,最大限度恢复关节功能。特别强调关节内骨折的治疗要个体化。

This issue features papers concerning intra articular fractures that covers surgical managements of fractures of tibial plateau at lower limbs, patella, calcaneus, glenoid cavity at upper limbs, Pilon fracture and Barton fracture. Fracture displacement, articular step off and injury of soft issue that are often associated with intra articular fractures, especially those caused by high energy, make the treatment all the more difficult. The key points for a successful treatment are accurate judgment of the severity of the injury, proper timing of the operation, application of minimally invasive skills, possibly maximum anatomic reduction and alignment of the fracture and maximum functional recovery. The author emphasizes that treatment of intra articular fractures should be individualized.