Pountos Ippokratis, Giannoudis Peter V
Academic Department of Trauma & Orthopaedics, School of Medicine, University of Leeds, UK.
Academic Department of Trauma & Orthopaedics, School of Medicine, University of Leeds, and NIHR Leeds Biomedical Research Unit, Chapel Allerton Hospital, LS7 4SA Leeds, West Yorkshire, Leeds, UK.
EFORT Open Rev. 2017 May 11;2(5):250-260. doi: 10.1302/2058-5241.2.160072. eCollection 2017 May.
The effective management of articular impacted fractures requires the successful elevation of the osteochondral fragment to eliminate joint incongruency and the stable fixation of the fragments providing structural support to the articular surface.The anatomical restoration of the joint can be performed either with elevation through a cortical window, through balloon-guided osteoplasty or direct visualisation of the articular surface.Structural support of the void created in the subchondral area can be achieved through the use of bone graft materials (autologous tricortical bone), or synthetic bone graft substitutes.In the present study, we describe the available techniques and materials that can be used in treating impacted osteochondral fragments with special consideration of their epidemiology and treatment options. Cite this article: 2017;2. DOI: 10.1302/2058-5241.2.160072. Originally published online at www.efortopenreviews.org.
关节嵌插骨折的有效管理需要成功抬起骨软骨碎片以消除关节不匹配，并稳定固定碎片以向关节表面提供结构支撑。关节的解剖复位可通过皮质骨窗抬起、球囊引导下骨成形术或直接观察关节表面来进行。软骨下区域形成的空隙的结构支撑可通过使用骨移植材料（自体三层皮质骨）或合成骨移植替代物来实现。在本研究中，我们描述了可用于治疗嵌插性骨软骨碎片的现有技术和材料，并特别考虑了它们的流行病学和治疗选择。引用本文：2017；2。DOI：10.1302/2058-5241.2.160072。最初在线发表于www.efortopenreviews.org。
