Richard Raveesh Daniel, Kubiak Erik, Horwitz Daniel Scott
Department of Orthopaedics, Geisinger Health System, 100 North Academy, Danville, PA 17821, USA.
Department of Orthopaedics, University of Utah, 590 Wakara Way, Salt Lake, UT 84108, USA.
Orthop Clin North Am. 2014 Jul;45(3):295-312. doi: 10.1016/j.ocl.2014.04.001.
Surgical management of extra-articular distal tibia fractures has evolved because of the high rate of complications with conventional techniques and the technically challenging aspects of the surgery. Open reduction and internal fixation with plating or nailing remain the gold standards of treatment, and minimally invasive techniques have reduced wound complications and increased healing. Adequate reduction and stabilization as well as appropriate soft tissue management are imperative to achieving good outcomes in these fractures.
由于传统技术并发症发生率高以及手术技术难度大，胫骨远端关节外骨折的手术治疗方法不断演变。钢板或髓内钉切开复位内固定仍然是治疗的金标准，而微创技术减少了伤口并发症并促进了愈合。充分的复位和固定以及适当的软组织处理对于这些骨折取得良好疗效至关重要。
