Duan Kai-di, Huang Jian-Rong
Department of Orthopedic Trauma, Sun-yat-sen Memorial Hospital, Guangzhou 510288, Guangdong, China.
Department of Orthopedic Trauma, Sun-yat-sen Memorial Hospital, Guangzhou 510288, Guangdong, China;
Zhongguo Gu Shang. 2019 Dec 25;32(12):1173-1176. doi: 10.3969/j.issn.1003-0034.2019.12.022.
The posterior condylar fracture of the tibial plateau refers to the fracture of the posterior 1/3 area of the tibial plateau. Compared with other clinical types such as Schatzker and AO, the three-column theory is more widely used in the diagnosis and treatment of the posterior condylar fracture of the tibial plateau. There are advantages and disadvantages in learning curve, intraoperative risk and therapeutic effect of minimally invasive methods such as posterior and lateral related approaches, circular external fixator and balloon dilatation, which are commonly used in open surgery. There is no consensus on the best surgical method. This article reviews the diagnosis, classification and treatment of posterior condylar fracture of tibial plateau.
胫骨平台后髁骨折是指胫骨平台后1/3区域的骨折。与Schatzker和AO等其他临床类型相比，三柱理论在胫骨平台后髁骨折的诊断和治疗中应用更为广泛。后路及外侧相关入路、环形外固定架及球囊扩张等常用于开放手术的微创方法，在学习曲线、术中风险及治疗效果方面各有优劣，目前对于最佳手术方法尚无共识。本文对胫骨平台后髁骨折的诊断、分类及治疗进行综述。
