复杂胫骨平台骨折处理的临床决策

Clinical Strategies for the Treatment of Complicated Fracture of Tibia Plateau

复杂胫骨平台骨折处理相当困难,治疗上存在着一系列矛盾,准确的骨折分型和软组织损伤情况评估,合理的手术入路和手术时机选择,重视复位、固定方式和方法及软组织保护,双下肢同时消毒包扎为术中快速的体位转换提供了方便,一系列临床决策极大地提高了复杂胫骨平台骨折的治疗水平。

Complicated fracture of tibia plateau is difficult to handle. There are many controversies about the treatment. Clinical strategies include exact typing and evaluation of the fracture and soft tissue injury; reasonable selecting of approach and operation time; recognizing fracture reduction, fixation and protecting of the soft tissue; simultaneous sterilization and draping of the bilateral legs for easy operation position transforming. These clinical strategies enormously enhance the clinical result of complicated fractures of tibia plateau.