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Schatzker II型骨折畸形愈合手术治疗后罕见的良好功能结局

Unusual Good Functional Outcome After Surgical Management of Maluniting Schatzker Type II Fracture.

作者信息

Vellingiri Kishore, Seenappa Hariprasad, Dasanna Satyarup

机构信息

Orthopaedics, Sri Devaraj Urs Academy of Higher Education and Research, Kolar, IND.

出版信息

Cureus. 2020 Oct 20;12(10):e11066. doi: 10.7759/cureus.11066.

DOI:10.7759/cureus.11066
PMID:33224660
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7676820/
Abstract

Tibial plateau fractures account for approximately 1% of all fractures. The reported incidence is about 10.3 per 100,000. Isolated tibial plateau fracture with articular step-off of 4 mm or less can be optimally treated with conservative management. An unstable joint requires further workup to determine whether fracture fragment movement or ligament pathology is the underlying cause of instability. We report the management of a case of delayed presentation of the proximal tibia with the neck of fibula fracture with foot drop.

摘要

胫骨平台骨折约占所有骨折的1%。报告的发病率约为每10万人中有10.3例。孤立的胫骨平台骨折，关节台阶小于或等于4毫米，可采用保守治疗。不稳定的关节需要进一步检查，以确定骨折块移动或韧带病变是否为不稳定的根本原因。我们报告了一例胫骨近端延迟就诊合并腓骨颈骨折伴足下垂的病例的处理情况。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7a8e/7676820/f5f24d8c3abe/cureus-0012-00000011066-i03.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7a8e/7676820/0a967ce14d54/cureus-0012-00000011066-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7a8e/7676820/f2dd5338e181/cureus-0012-00000011066-i02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7a8e/7676820/f5f24d8c3abe/cureus-0012-00000011066-i03.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7a8e/7676820/0a967ce14d54/cureus-0012-00000011066-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7a8e/7676820/f2dd5338e181/cureus-0012-00000011066-i02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7a8e/7676820/f5f24d8c3abe/cureus-0012-00000011066-i03.jpg

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本文引用的文献

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The Interdisciplinary Management of Foot Drop.足下垂的多学科管理。
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2
Rim Plate Augmentation of the Posterolateral Bare Area of the Tibial Plateau Using a 3.5-mm Precontoured Locking Compression Plate: A Cadaveric Study.使用3.5毫米预塑形锁定加压钢板对胫骨平台后外侧裸区进行边缘钢板增强：一项尸体研究。
J Orthop Trauma. 2018 May;32(5):e157-e160. doi: 10.1097/BOT.0000000000001129.
3
What's new in the management of complex tibial plateau fractures?复杂胫骨平台骨折的治疗有哪些新进展？
Injury. 2016 Jun;47(6):1162-9. doi: 10.1016/j.injury.2016.03.001. Epub 2016 Mar 3.
4
Peroneal Nerve Palsy: Evaluation and Management.腓总神经麻痹：评估与处理
J Am Acad Orthop Surg. 2016 Jan;24(1):1-10. doi: 10.5435/JAAOS-D-14-00420.
5
Population-Based Epidemiology of Tibial Plateau Fractures.基于人群的胫骨平台骨折流行病学研究
Orthopedics. 2015 Sep;38(9):e780-6. doi: 10.3928/01477447-20150902-55.
6
Surgical fixation methods for tibial plateau fractures.胫骨平台骨折的手术固定方法。
Cochrane Database Syst Rev. 2015 Sep 15;2015(9):CD009679. doi: 10.1002/14651858.CD009679.pub2.
7
Functional outcome after tibial plateau fracture osteosynthesis: a mean follow-up of 6 years.胫骨平台骨折切开复位内固定术后的功能结果：平均随访6年。
Knee. 2014 Dec;21(6):1210-5. doi: 10.1016/j.knee.2014.09.011. Epub 2014 Oct 11.
8
Management of soft tissue injuries associated with tibial plateau fractures.与胫骨平台骨折相关的软组织损伤的处理
J Knee Surg. 2014 Feb;27(1):5-9. doi: 10.1055/s-0033-1363546. Epub 2013 Dec 19.
9
Risk factors of infection after ORIF of bicondylar tibial plateau fractures.双髁胫骨平台骨折切开复位内固定术后感染的危险因素。
J Orthop Trauma. 2013 Sep;27(9):e196-200. doi: 10.1097/BOT.0b013e318284704e.
10
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