复杂胫骨平台骨折诊治研究进展

The Progress in Diagnosis and Treatment of Complex Tibial Plateau Fracture

复杂胫骨平台骨折病情复杂且严重,若治疗不当可能会引起诸多并发症。术前作出正确诊断、明确骨折分型以及制订合理手术方案是减少并发症的关键。复杂胫骨平台骨折通过X线平片、CT及磁共振成像的综合判断,可为诊断提供详细而准确的指导。复杂胫骨平台骨折通常首选手术治疗,手术治疗需要从多个方面考虑,进行充分的术前评估,选择合适的手术时机、手术入路、内固定物,并适当植骨。

Complex tibial plateau fracture is complicated and serious,and improper treatment may cause many complications. Making the correct diagnosis and definite fracture classification and formulating reasonable operation plan before operation are the keys to reduce the complications. Systemic evaluation through X-ray,CT and MRI,provides detailed and accurate guidance for the diagnosis of complex tibial plateau fracture. Operation is usually the primary treatment,which requires consideration from multiple aspects,adequate preoperative evaluation,and chooding appropriate operation opportunity,operation approach,internal fixation material and appropriate bone graft.