Gahr Patrick, Kopf Sebastian, Pauly Stephan
Department of Trauma, Hand and Reconstructive Surgery, Rostock University Medical Center, Rostock, Germany.
Center for Orthopedics and Traumatology, Medical School Theodor Fontane, Brandenburg an der Havel, Germany.
Front Surg. 2023 Mar 23;10:1138274. doi: 10.3389/fsurg.2023.1138274. eCollection 2023.
The management of proximal tibial fractures has evolved significantly in recent years. While the main goals of treatment - stability, restoration of the mechanical axis, and smooth articular surfaces - remain the same, methods have advanced substantially. In diagnostics, technical progress in CT and MR imaging has led to a better three-dimensional understanding of the injury. Newly developed classification systems such as the three-column concept of Luo et al. and the 10-segment concept of Krause et al. take this into account. Accordingly, there is a trend towards tailored approaches for particular fracture localizations. Parallel to this development, there is increasing evidence of the advantages of arthroscopically assisted surgical procedures. This Current Concepts article reviews classifications, diagnostics, treatment options as well as complications in fractures of the proximal tibia.
近年来，胫骨近端骨折的治疗方法有了显著进展。虽然治疗的主要目标——稳定性、机械轴的恢复和平整的关节面——保持不变，但治疗方法有了很大进步。在诊断方面，CT和MR成像技术的进步使人们对损伤有了更好的三维理解。新开发的分类系统，如Luo等人的三柱概念和Krause等人的十段概念，都考虑到了这一点。因此，针对特定骨折部位采用个性化治疗方法的趋势日益明显。与此同时，越来越多的证据表明关节镜辅助手术具有优势。这篇“当前概念”文章回顾了胫骨近端骨折的分类、诊断、治疗选择以及并发症。
