Lv Zhengming, Ji Tianyi
Department of Orthopaedics, Taizhou People's Hospital, Taizhou, Jiangsu, China.
Ann Med Surg (Lond). 2022 Jun 4;78:103927. doi: 10.1016/j.amsu.2022.103927. eCollection 2022 Jun.
and importance: Unicondylar tibial plateau fractures with tibial shaft fractures are extremely rare among the elderly group of people. The traditional treatment method is to apply double plates to fix unicondylar tibial plateau fractures combined with tibial shaft fractures respectively, but this fixation method can disrupt the blood supply around the soft tissues and increase the rate of postoperative infection and fracture non-union. In this paper, we would analyse an old unicondylar tibial plateau fracture (Schatzker type III) with tibial shaft fracture which admitted to our department and discussed the efficacy of using intramedullary nails and plates in the treatment of these fractures.
A 78-year-old woman with an old unicondylar tibial plateau fracture combined with tibial shaft fracture was presented in this case. Using an intramedullary nail combined with a plate to achieve good results.
This case represents a rare case of an unicondylar tibial plateau fracture with a tibial shaft fracture. In this case, the tibial plateau fracture was first incised and internally fixed with a 9-hole plate across the fracture line of the tibial shaft, followed by fixing the tibial shaft fracture with an intramedullary nail. This treatment helped us successfully reset the unicondylar tibial plateau fracture with tibial shaft fracture and provided a satisfactory outcome for the patient.
Using intramedullary nails combined with plates to treat unicondylar tibial plateau fractures with tibial shaft fractures allowed for a predictable healing result.
及重要性：老年人群中，单纯胫骨平台骨折合并胫骨干骨折极为罕见。传统治疗方法是分别应用双钢板固定单纯胫骨平台骨折合并胫骨干骨折，但这种固定方法会破坏软组织周围的血供，增加术后感染和骨折不愈合的发生率。在本文中，我们将分析1例收治入我科的老年单纯胫骨平台骨折（Schatzker III型）合并胫骨干骨折病例，并探讨使用髓内钉和钢板治疗此类骨折的疗效。
本病例介绍了1例78岁老年女性，患有陈旧性单纯胫骨平台骨折合并胫骨干骨折。采用髓内钉联合钢板治疗取得了良好效果。
该病例为罕见的单纯胫骨平台骨折合并胫骨干骨折。在此病例中，先切开胫骨平台骨折，用一块9孔钢板跨过胫骨干骨折线进行内固定，随后用髓内钉固定胫骨干骨折。这种治疗方法帮助我们成功复位了单纯胫骨平台骨折合并胫骨干骨折，为患者提供了满意的治疗效果。
使用髓内钉联合钢板治疗单纯胫骨平台骨折合并胫骨干骨折可获得可预测的愈合结果。
