Ishiguro T, Imai N, Tomatsu T, Noguchi T, Hashizume N
Nihon Seikeigeka Gakkai Zasshi. 1986 Feb;60(2):227-36.
The treatment of fractures of the lateral tibial plateau is still a subject of controversy. Many authors have emphasized the importance of early mobilization of the knee joint following fractures of the tibial plateau. However, local depression fractures of the tibial plateau occur quite frequently in elderly patients and have presented many difficult problems in management. In 1982, the authors developed a new method of closed reduction using the spring action of Kirschner wires for severely displaced local depression fractures of the tibial plateau. The principle of this procedure is to apply continuous positive pressure to the depressed fragment for its reduction and retention. By re-establishing stability in the fracture, active knee mobilization can be allowed from the beginning. Seven patients were treated with this procedure, and the results of short-term follow-up, ranging from three to 26 months, were promising as to the range of motion, stability and relief of pain.
胫骨外侧平台骨折的治疗仍是一个存在争议的问题。许多作者强调胫骨平台骨折后早期膝关节活动的重要性。然而，胫骨平台局部凹陷骨折在老年患者中相当常见，并且在治疗中出现了许多难题。1982年，作者开发了一种新的闭合复位方法，利用克氏针的弹性作用治疗胫骨平台严重移位的局部凹陷骨折。该手术的原理是对凹陷的骨折块施加持续正压以使其复位并固定。通过重建骨折部位的稳定性，可以从一开始就允许积极的膝关节活动。七名患者接受了该手术，三至二十六个月的短期随访结果在活动范围、稳定性和疼痛缓解方面很有前景。
