Dirschl Douglas R, Del Gaizo Daniel
Department of Orthopaedics, University of North Carolina, Chapel Hill. Dr. Del Gaizo is orthopaedic resident, University of North Carolina Hospitals, Chapel Hill, USA.
Am J Orthop (Belle Mead NJ). 2007 Apr;36(4 Suppl):12-7.
Careful and thorough assessment of injury severity, with particular attention paid to identifying high-energy injuries, is critical to achieving optimal outcomes and avoiding complications following tibial plateau fractures. Staged management of tibial plateau fractures refers to the use of temporizing methods of care (often spanning external fixation) in high-energy injuries, as well as delaying definitive fracture surgery until such a time as the risk of soft tissue complications is decreased. This article discusses the principles and techniques of staged management, including the use of less invasive methods for definitive stabilization.
仔细且全面地评估损伤严重程度，尤其要注意识别高能损伤，这对于实现胫骨平台骨折后的最佳治疗效果及避免并发症至关重要。胫骨平台骨折的分期治疗是指在高能损伤中采用临时治疗方法（通常包括外固定），以及推迟确定性骨折手术，直到软组织并发症风险降低之时。本文讨论分期治疗的原则和技术，包括使用创伤较小的方法进行确定性固定。
