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Complications of high-energy bicondylar tibial plateau fractures treated with dual plating through 2 incisions.经两个切口双钢板治疗高能双髁胫骨平台骨折的并发症
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4
Tibial plateau fractures: reproducibility of three classifications (Schatzker, AO, Duparc) and a revised Duparc classification.胫骨平台骨折：三种分类法（Schatzker、AO、Duparc）和改良 Duparc 分类的可重复性。
Orthop Traumatol Surg Res. 2013 Nov;99(7):805-16. doi: 10.1016/j.otsr.2013.06.007. Epub 2013 Oct 9.
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Surgical technique: Tscherne-Johnson extensile approach for tibial plateau fractures.手术技术：胫骨平台骨折的 Tscherne-Johnson 广泛显露入路。
Clin Orthop Relat Res. 2013 Sep;471(9):2760-7. doi: 10.1007/s11999-013-2962-2.
6
Treatment of complicated tibial plateau fractures with dual plating via a 2-incision technique.采用双切口技术双钢板治疗复杂胫骨平台骨折
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7
Bilateral stress fracture of the fibulae and periostitis of the tibiae.双侧腓骨应力性骨折和胫骨骨膜炎。
Med Princ Pract. 2010;19(6):490-2. doi: 10.1159/000320310. Epub 2010 Sep 28.
8
Posteromedial supine approach for reduction and fixation of medial and bicondylar tibial plateau fractures.仰卧位后内侧入路用于胫骨内侧及双髁平台骨折的复位与固定
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High-energy tibial plateau fractures.高能胫骨平台骨折
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10
The tibial plateau fracture. The Toronto experience 1968--1975.胫骨平台骨折。多伦多的经验（1968 - 1975年）
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双切口入路和早期康复治疗复杂双髁胫骨平台骨折：病例报告。

Double-Incision Approach and Early Rehabilitation in a Complicated Bicondylar Tibial Plateau Fracture: A Case Report.

出版信息

Med Princ Pract. 2017;26(4):387-389. doi: 10.1159/000476067. Epub 2017 Apr 26.

DOI:10.1159/000476067
PMID:28445875
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC5768115/
Abstract

OBJECTIVE

The main goal of this case was to report the treatment of bicondylar fractures of the tibial plateau and the restoration of the metaphyseo-diaphyseal dissociation.

CLINICAL PRESENTATION AND INTERVENTION

A 54-year-old male who was cycling had a road accident that caused a closed fracture of the right tibial plateau and proximal fibula diagnosed by X-rays. The patient underwent surgery and was immobilized with a long-leg splint for 4 weeks. After immobilization, aggressive rehabilitation was done. Progressive quadriceps strengthening, movements to improve symmetrical weight bearing, and functional activities were performed. The patient improved muscle strength and obtained high scores for gait and balance in a relatively short time.

CONCLUSION

In this report, a bicondylar tibial fracture treated with a two-incision approach and a double-plate osteosynthesis provided strong fracture stabilization and thereby allowed an early mobilization with aggressive rehabilitation.

摘要

目的

本病例的主要目标是报告治疗胫骨平台双髁骨折和修复干骺端-骨干分离。

临床表现和干预

一名 54 岁男性骑自行车时发生道路交通事故，导致右侧胫骨平台和近端腓骨闭合性骨折，X 光片诊断为此病。患者接受了手术治疗，并用长腿夹板固定 4 周。固定后，进行了积极的康复治疗。进行了逐渐增强股四头肌力量的治疗、改善对称负重运动和功能活动。患者在相对较短的时间内提高了肌肉力量，并且在步态和平衡方面获得了高分。

结论

在本报告中，采用双切口入路和双钢板内固定治疗胫骨平台双髁骨折，提供了强大的骨折稳定性，从而允许早期进行积极的康复治疗和活动。