R Adams Cowley Shock Trauma Center, University of Maryland Medical Center, Baltimore, MD 21201, USA.
J Orthop Trauma. 2013 Jan;27(1):e18-23. doi: 10.1097/BOT.0b013e31825316ea.
This study presents a retrospective review of 8 patients with 9 cases of an uncommon variant of medial tibial plateau fracture treated with a surgical approach not previously described in the literature. The fracture pattern is characterized by a displaced medial tibial plateau fracture with significant central and posterior impaction of the lateral tibial articular surface but an intact lateral cortex. A novel surgical approach with an intra-articular osteotomy of the lateral tibial plateau was used to facilitate visualization, reduction, and instrumentation of the lateral articular injury. Early clinical and radiographic results of this treatment approach were reviewed. We describe the fracture pattern, surgical technique, and early results and propose this technique as a reasonable alternative for treatment of a challenging clinical entity.
本研究回顾性分析了 8 例 9 例罕见的内侧胫骨平台骨折患者，这些患者采用了一种以前文献中未描述的手术入路进行治疗。这种骨折类型的特点是外侧胫骨关节面存在明显的中央和后向移位的内侧胫骨平台骨折，但外侧皮质完整。采用一种新颖的关节内胫骨平台外侧骨切开术入路，以利于外侧关节损伤的可视化、复位和内固定。回顾了这种治疗方法的早期临床和影像学结果。我们描述了骨折模式、手术技术和早期结果，并提出该技术是治疗具有挑战性的临床实体的合理选择。
