Dillin L, Slabaugh P
J Trauma. 1986 Dec;26(12):1116-9. doi: 10.1097/00005373-198612000-00011.
The literature concerning tibial plafond fractures is briefly reviewed, and a series of 11 tibial plafond fractures of the compressive variety is presented. These fractures fall both prognostically and therapeutically into different categories based upon whether the primary mechanism of injury is rotational or compressive. The severity of the fracture, the degree of contamination, and the severity of concomitant soft-tissue injury in large part appear to determine the morbidity of surgical therapy in these patients. If rigid internal fixation can be performed in those patients with closed injuries that are primarily of the rotational type and performed with a minimum of soft-tissue trauma, this appears to be a reliable alternative in the hands of surgeons experienced with A-O technique and with this type of fracture specifically. In the presence of severe comminution and open wounds, however, the efficacy of rigid internal fixation performed by surgeons without great experience with these types of fracture is dubious.
本文简要回顾了有关胫骨平台骨折的文献，并呈现了一系列11例压缩型胫骨平台骨折。根据损伤的主要机制是旋转性还是压缩性，这些骨折在预后和治疗方面可分为不同类别。骨折的严重程度、污染程度以及伴随的软组织损伤的严重程度在很大程度上似乎决定了这些患者手术治疗的发病率。如果能够对那些主要为旋转型闭合损伤且软组织创伤最小的患者进行坚强内固定，对于有A - O技术经验且专门处理此类骨折的外科医生而言，这似乎是一种可靠的选择。然而，在存在严重粉碎和开放性伤口的情况下，由对这类骨折经验不足的外科医生进行坚强内固定的疗效是值得怀疑的。
