Honkonen S E, Järvinen M J
Tampere University Hospital, Finland.
J Bone Joint Surg Br. 1992 Nov;74(6):840-7. doi: 10.1302/0301-620X.74B6.1447244.
We analysed 131 fractures of the tibial condyles in 130 patients, using a modification of the classification of Schatzker, McBroom and Bruce (1979). The patients were reviewed at an average of 7.6 years after the injury. Fifty-five (42%) fractures had been treated conservatively and 76 (58%) operatively. Medial unicondylar and medially tilted bicondylar fractures tended to redisplace into varus position and lateral unicondylar and laterally tilted bicondylar fractures into valgus. There were significant differences when the results were evaluated according to the methods of Hohl and Luck (1956) and Rasmussen (1973). Using our method in conservatively treated cases, the subjective results were acceptable in 49.1%, the functional results in 60.0% and the clinical results in 52.7%. In cases treated by operation the equivalent figures were 57.9%, 73.7% and 52.6%. The poorest results followed displaced medial condylar and medially tilted bicondylar fractures. Varus alignment of the tibial plateau was tolerated worse than valgus alignment.
我们采用对Schatzker、McBroom和Bruce（1979年）分类法的改良方法，分析了130例患者的131例胫骨髁骨折。患者在受伤后平均7.6年接受复查。55例（42%）骨折采用保守治疗，76例（58%）采用手术治疗。内侧单髁骨折和向内侧倾斜的双髁骨折倾向于内翻移位，外侧单髁骨折和向外侧倾斜的双髁骨折倾向于外翻移位。根据Hohl和Luck（1956年）以及Rasmussen（1973年）的方法评估结果时存在显著差异。在保守治疗的病例中，采用我们的方法，主观结果可接受率为49.1%，功能结果可接受率为60.0%，临床结果可接受率为52.7%。在手术治疗的病例中，相应的数字分别为57.9%、73.7%和52.6%。最差的结果出现在移位的内侧髁骨折和向内侧倾斜的双髁骨折之后。胫骨平台内翻畸形比外翻畸形更难耐受。
