胫骨平台骨折的并发症

Complications of the tibial plateau fracture

解剖复位、坚强固定以及压缩骨折植骨是治疗胫骨平台骨折的关键因素,近年来出现了微创内固定系统(LISS)、关节镜下治疗胫骨平台骨折等新技术,但是复位不良、感染、膝周软组织损伤、骨折不愈合、创伤性关节炎以及膝关节僵硬等并发症的发生仍然不可避免,本文介绍了胫骨平台骨折并发症的发生机制,处理以及预防措施。

The major surgical managements for tibial plateau fractures are anatomical reduction, firm fixation and bone grafting. There have appeared many new techniques in recent years, such as less invasive stability system (LISS) and arthroscopy assisted treatment. But such complications as loss of reduction, infection, soft tissue lesion around the knee, nonunion, posttraumatic arthritis, and knee stiffness seem to be inevitable. This article introduces the mechanism, treatment and prevention of the complications of the tibial plateau fracture.