Department of Orthopedics, Kaohsiung Medical University Hospital, Kaohsiung, Taiwan.
Kaohsiung J Med Sci. 2010 Mar;26(3):130-5. doi: 10.1016/S1607-551X(10)70019-X.
Fractures of the posteromedial tibial plateau are rare and their treatment is not well established. Between January 2004 and December 2008, eight patients with fractures of the posteromedial tibia plateau were identified. All patients were treated with fracture reduction using an anterior approach. After a mean follow-up of 21 months, the average range of knee motion was 0-123 degrees of flexion. Seven patients had been injured in motor-scooter accidents, in which the protective front plate of the scooter had hit the knee while it was in the 90 degrees -flexion position. At the final follow-up, 87.5% (7/8) patients had satisfactory reductions of the articular surface, and all patients had acceptable alignments. There were no neural or vascular injuries following surgery, and no superficial or deep infections. The average Hospital for Special Surgery Knee Score was 89. In conclusion, fracture reduction using the anterior approach is associated with fewer complications than the posterior approach, and good functional recovery can be expected.
胫骨平台后内侧骨折较为少见，其治疗方法尚未完全确立。2004 年 1 月至 2008 年 12 月，共发现 8 例胫骨平台后内侧骨折患者。所有患者均采用前入路进行骨折复位。平均随访 21 个月后，膝关节活动度平均为 0-123 度屈曲。7 例患者因骑摩托车事故受伤，当时摩托车的前护板处于 90 度屈曲位置，撞击到膝盖。末次随访时，87.5%（7/8）的患者关节面复位满意，所有患者的对线均可接受。术后无神经或血管损伤，无浅表或深部感染。美国特种外科医院膝关节评分平均为 89 分。综上所述，前入路复位与后入路相比并发症较少，可获得良好的功能恢复。
