Orthopaedic Unit, Oglio Po Hospital, Vicomoscano (CR), Italy .
Orthopaedic and Traumatology Clinic. Department of Medicine and Surgery, University of Parma, Parma, Italy .
Acta Biomed. 2020 Dec 30;91(14-S):e2020018. doi: 10.23750/abm.v91i14-S.10980.
High-energy tibial plateau fractures are complex lesions that may be associated with extensive soft tissue damages and severe complications, such as compartment syndrome and neurological injuries. This case report interests a professional motocross freestyler with complex tibial plateau fracture associated to compartment syndrome and partial common peroneal nerve impairment which complicated with a dehiscence of the surgical wound and infection after plate and screws fixation. One year later, despite the complexity of the fracture, the gravity of the soft tissue lesions and subsequent complications, the patient healed. This satisfactory result depended on the correct management in terms of type of treatment and timing.
高能胫骨平台骨折是复杂的损伤,可能伴有广泛的软组织损伤和严重的并发症,如筋膜间室综合征和神经损伤。本病例报告涉及一位专业的越野摩托车自由式运动员,他患有胫骨平台复杂骨折,伴有筋膜间室综合征和部分腓总神经损伤,随后出现手术切口裂开和感染,在钢板和螺钉固定后。一年后,尽管骨折复杂,软组织损伤严重,随后出现并发症,但患者仍愈合。这一满意的结果取决于治疗类型和时机的正确管理。