Liu Yu-Ping, Hao Qing-Hai, Lin Feng, Wang Ming-Ming, Hao Yue-Dong
From the Department of Trauma Orthopedics, Tengzhou Central People's Hospital, Shandong (YPL, QHH, FL, MMW); and Department of Orthopedics, Huaian First People's Hospital, Jiangsu, P.R. China (YDH).
Medicine (Baltimore). 2015 Sep;94(39):e1684-0. doi: 10.1097/MD.0000000000001684.
A displaced tibial tuberosity avulsion fracture associated with an open extra-articular proximal tibial diaphyseal fracture is an uncommon fracture pattern. This case report describes the successful management of such a fracture pattern in a 45-year old male using an open reduction and lag screw fixation of the tuberosity with a minimally invasive reduction and plate fixation of the proximal tibial diaphyseal fracture. A literature search was done to determine the expected clinical outcome of this fracture pattern. This is the first reported adult case of an avulsion fractures of the tibial tuberosity associated with an open proximal tibial diaphyseal fracture successfully treated by an anatomical reduction and fixation of the avulsion fracture of the tibial tuberosity combined with minimally invasive percutaneous plate osteosynthesis of the proximal tibial diaphyseal fractures.
伴有开放性胫骨近端骨干关节外骨折的胫骨结节撕脱性移位骨折是一种罕见的骨折类型。本病例报告描述了一名45岁男性患者的这种骨折类型的成功治疗，采用胫骨结节切开复位和拉力螺钉固定，以及胫骨近端骨干骨折的微创复位和钢板固定。进行了文献检索以确定这种骨折类型的预期临床结果。这是首例报道的成年患者胫骨结节撕脱骨折合并开放性胫骨近端骨干骨折，通过胫骨结节撕脱骨折的解剖复位和固定以及胫骨近端骨干骨折的微创经皮钢板接骨术成功治疗的病例。
