合并胫骨平台骨折的髁间棘骨折的分型和治疗进展

Classification and treatment of intercondylar spine fractures complicated with tibial plateau fracture

胫骨髁间棘是膝关节前交叉韧带附着的区域,髁间棘骨折是胫骨平台骨折常见的合并损伤。髁间棘骨折的复位愈合情况与膝关节稳定性和功能预后密切相关,临床处理需以科学的分型为依据,全面评估关节内损伤情况,有效复位固定骨折,恢复交叉韧带张力和关节面平整。本文对近5年内关于合并胫骨平台骨折的髁间棘骨折的分型、手术和固定方式的最新进展进行简要综述。

Fracture of the tibial spine,insertion of the anterior cruciate ligament,is one of the most common concomitant injuries seen in tibial plateau fractures.Anatomical reduction and healing of the tibial spine fragments are essential to the stability and function of the knee.Clinical management of the tibial spine fractures associated with tibial plateau fracture should be based on their classification after comprehensive assessment of intra-articular injuries,in order to restore tension of the cruciate ligament and articular congruity.The purpose of this review is to briefly summarize the research updates in recent 5 years regarding the classification,operation methods and fixation options for these complex fractures.