Kandemir Utku, Maclean Jeffrey
Department of Orthopaedic Surgery, University of California San Francisco, San Francisco, California.
J Knee Surg. 2014 Feb;27(1):21-9. doi: 10.1055/s-0033-1363519. Epub 2013 Dec 19.
Tibial plateau fractures are common yet complex injuries, and include a wide variety of fracture patterns. They are also potentially associated with significant soft tissue injury. Thus, the surgeon preparing to operate on one of these fractures must choose from a variety of surgical approaches that have been described. The choice of approach is dictated principally by the fracture pattern, with consideration of the soft tissue envelope, patient factors, and associated injuries. Occasionally, associated intra-articular injuries may also need to be addressed. Commonly used approaches to the proximal tibia, which together allow for the treatment of any proximal tibia fracture, will be described in this article.
胫骨平台骨折常见但复杂，包括多种骨折类型。它们还可能伴有严重的软组织损伤。因此，准备对这类骨折之一进行手术的外科医生必须从已描述的多种手术入路中进行选择。入路的选择主要取决于骨折类型，同时要考虑软组织包膜、患者因素及相关损伤。偶尔，还可能需要处理相关的关节内损伤。本文将描述常用于胫骨近端的入路，这些入路共同可用于治疗任何胫骨近端骨折。
