Rüedi T P, Allgöwer M
Clin Orthop Relat Res. 1979 Jan-Feb(138):105-10.
Intra-articular fractures of the lower end of the tibia are an interesting challenge. The best functional results in the past series were observed in patients treated according to the following 4 sequential principles: (1) reconstruction of the correct length of the fibula; (2) anatomical reconstruction of the articular surface of the tibia; (3) insertion of a cancellous autograft to fill gaps left by impaction and comminution; (4) stable internal fixation of the fragments by a plate placed on the medial aspect of the tibia. Seventy-five cases had a good or excellent late result (on average 6 years postoperatively) in 70% as compared to 43% to 55% in cases treated by closed and/or open methods.
胫骨下端关节内骨折是一项颇具挑战性的课题。在过去的一系列病例中，按照以下4个连续原则进行治疗的患者取得了最佳功能效果：（1）重建腓骨的正确长度；（2）胫骨关节面的解剖重建；（3）植入松质骨自体移植物以填充嵌插和粉碎造成的骨缺损；（4）通过置于胫骨内侧的钢板对骨折碎片进行稳定的内固定。75例患者术后晚期（平均术后6年）结果良好或优秀，比例为70%，而采用闭合和/或开放方法治疗的病例这一比例为43%至55%。
