Tralles D, Wojczik H, Hildebrandt T
Klinik für Chirurgie, Bereichs Medizin (Charité), Humboldt-Universität zu Berlin.
Zentralbl Chir. 1990;115(10):635-43.
The successful therapy of fractures of caput tibiae has always been the "haut ecol" of every treatment of fractures. A study made by 52 surgical clinics of the GDR which examined 1,954 patients who were under medical therapy between 1981 to 1985 summarizes the results. The patients have been examined for a period of 4.5 years in average. The study comparing the results of conservative and surgical medical therapy shows that there is no difference between the results of both methods of medical therapy regardless whether all kinds of fractures or whether only the same kinds of fractures were compared. Even if we consider the impression-fractures we come to the same result although we were of the opinion up to now, that impression-fractures should be treated in a surgical way only. The results of the study make clear the necessity of a strong indication for a surgical treatment and also that an early functional conservative therapy has the same results.
胫骨髁骨折的成功治疗一直是各类骨折治疗中的“高难度问题”。民主德国52家外科诊所进行的一项研究总结了结果，该研究对1981年至1985年间接受药物治疗的1954例患者进行了检查。患者平均接受了4.5年的检查。比较保守治疗和手术治疗结果的研究表明，无论比较的是各类骨折还是仅相同类型的骨折，两种治疗方法的结果均无差异。即使考虑到凹陷骨折，我们也得出了相同的结果，尽管我们至今一直认为凹陷骨折应仅采用手术治疗。该研究结果明确了手术治疗严格适应症的必要性，同时也表明早期功能保守治疗可取得相同的效果。
