Konrad G, Südkamp N
Department Orthopädie und Traumatologie, Universitätsklinikum Freiburg , Hugstetter Strasse 55, 79106 Freiburg.
Chirurg. 2007 Feb;78(2):161-71; quiz 172-3. doi: 10.1007/s00104-006-1292-2.
The treatment of proximal extra-articular tibial fractures can be challenging due to extensive soft tissue damage and the special biomechanical conditions in the proximal tibial region. Different osteosynthetic procedures are available for operative stabilization. Treatment with an external fixator is recommended in particular as an emergency and short-term implant for temporary stabilization of fractures with extensive soft tissue damage. Intramedullary nailing represents a minimally invasive but technically demanding procedure to stabilize proximal tibial fractures. Angularly stable implant systems such as the so-called less invasive stabilization system fulfill the demands of fast implantation, soft tissue protection, and high biomechanical stability. The rate of malalignments and instabilities with delayed healing can be reduced using these new implants.
由于广泛的软组织损伤以及胫骨近端区域特殊的生物力学条件，近端关节外胫骨骨折的治疗具有挑战性。有多种不同的骨合成手术可用于手术稳定。特别是，外固定器治疗被推荐作为一种紧急和短期植入物，用于临时稳定伴有广泛软组织损伤的骨折。髓内钉固定是一种微创但技术要求较高的稳定胫骨近端骨折的手术。角度稳定的植入系统，如所谓的微创稳定系统，满足了快速植入、软组织保护和高生物力学稳定性的要求。使用这些新型植入物可以降低畸形和不稳定以及延迟愈合的发生率。
