Barei David P, Nork Sean E
Department of Orthopaedics and Sports Medicine, Harborview Medical Center, University of Washington, Seattle, WA 98104, USA.
Foot Ankle Clin. 2008 Dec;13(4):571-91. doi: 10.1016/j.fcl.2008.09.002.
High-energy fractures of the tibial plafond are a lifechanging event for the patient. Currently, open reduction and internal fixation (ORIF) appears to offer the best chance for obtaining and maintaining anatomic articular reduction and axial alignment to union. Definitive ORIF should be performed in a staged fashion to allow adequate resolution of the associated soft tissue injury. A preoperative plan is essential to a successful outcome and it must include a strategy to access and stabilize the articular and nonarticular components of the injury.
胫骨平台高能骨折对患者来说是改变人生的事件。目前，切开复位内固定术（ORIF）似乎为实现并维持解剖学关节复位及轴向对线直至愈合提供了最佳机会。确定性ORIF应分阶段进行，以便充分解决相关的软组织损伤。术前规划对取得成功结果至关重要，且必须包括处理和稳定损伤的关节及非关节部分的策略。
