Kubiak Erik N, Camuso Matthew R, Barei David P, Nork Sean E
Department of Orthopaedic Surgery, Harborview Medical Center, Seattle, WA 98104-2499, USA.
J Orthop Trauma. 2008 Sep;22(8):560-5. doi: 10.1097/BOT.0b013e318185fa7e.
Unicondylar plateau fractures with ipsilateral noncontiguous tibial shaft fractures are rare injuries; over a 10-year period, we identified only 50 of these combined injuries in our series of 1586 tibial fractures. Modern locking plates and percutaneous techniques have been increasingly indicated for this injury pattern though this technique can compromise optimal fixation of the plateau and/or shaft fractures. For a number of years, we have combined intramedullary nails and plates for the treatment of these fractures with excellent results. With careful attention to some technical points, ipsilateral tibial plateau and shaft fractures can be managed successfully by combining 2 familiar techniques commonly employed for each injury in isolation.
伴有同侧非相邻胫骨干骨折的单髁平台骨折是罕见损伤；在10年期间，在我们的1586例胫骨骨折系列中，仅发现50例这种合并损伤。现代锁定钢板和经皮技术越来越多地用于这种损伤模式，尽管该技术可能会影响平台和/或骨干骨折的最佳固定。多年来，我们一直联合使用髓内钉和钢板治疗这些骨折，效果良好。通过仔细注意一些技术要点，同侧胫骨平台和骨干骨折可以通过联合两种单独用于每种损伤的常用技术成功治疗。
