胫骨平台骨折的手术治疗

Surgical treatment of tibial plateau fractures

膝关节是人体负重结构,在人正常活动中占有重要地位。胫骨平台骨折往往由车祸及高处坠落等高能量损伤造成,损伤涉及关节面骨折,易导致膝关节功能严重障碍。胫骨平台骨折的手术治疗方法有内固定、外固定支架固定术、关节镜技术以及球囊成形术。尽管如此,胫骨平台骨折的手术治疗风险大,术后中远期效果不理想。随着对胫骨平台骨折认识的深入,各种新的治疗理念、检查方法、固定方法、固定器材纷纷提出,使治疗效果较前有了很大进步,本文就近期胫骨平台骨折手术治疗的相关问题做一综述。

The knee joints are weight-bearing joints, which occupy an important role in people＇s normal activity. Tibial plateau fractures involving articular fractures, it＇s easily lead to knee joints dysfunction, and Tibial plateau fractures are often caused by traffic accident and falling high-energy injury. The operative method of tibial plateau fractures are internal fixation, external fixation, arthroscopic techniques and balloon tibioplasty. In spite of this, the surgical treatment of tibial plateau fracture is also with high risk, the postoperative long-term effect is not ideal. With further understanding oftibial plateau fractures, all kinds of new treatment idea, inspection method, method of fixed, fixed equipment are put forward, make the treatment effect has made great progress than before. This article will review recent operative treat- ment of tibial plateau fractures related issues.