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胫骨外侧平台骨折的创新治疗方法:一例关于采用半月板下前外侧关节切开术、骨水泥增强及螺钉固定的病例研究

Innovative Approach to Lateral Tibial Plateau Fracture: A Case Study on Anterolateral Submeniscal Arthrotomy With Cement Augmentation and Screw Fixation.

作者信息

Patel Siddharth K, Khan Sohael, Lohiya Ashutosh, Goyal Saksham

机构信息

Department of Orthopaedics, Jawaharlal Nehru Medical College, Datta Meghe Institute of Higher Education and Research, Wardha, IND.

出版信息

Cureus. 2024 Mar 2;16(3):e55416. doi: 10.7759/cureus.55416. eCollection 2024 Mar.

Abstract

Lateral tibial plateau fractures are generally present as depressed fractures. The lateral tibial plateau is more common than the medial tibial plateau, often due to a bumper injury. If depressed fragments are more than 8-10 mm, then surgical management is usually needed. Anterolateral fixation is frequently used for unicondylar lateral tibial plateau fractures. Here, we present an articular depressed lateral tibia plateau fracture in a Schatzker type 3 case. The fracture was managed through an anterolateral approach with sub-meniscal arthrotomy, allowing for direct visualization and subsequent fixation using bone cement and a cannulated cancellous screw. Postoperative imaging confirmed proper reduction, and the patient had a satisfactory outcome..

摘要

胫骨外侧平台骨折通常表现为凹陷性骨折。胫骨外侧平台骨折比内侧平台骨折更常见,通常是由于保险杠损伤所致。如果凹陷骨折块超过8 - 10毫米,通常需要手术治疗。单髁胫骨外侧平台骨折常采用前外侧固定。在此,我们展示一例Schatzker 3型关节凹陷性胫骨外侧平台骨折病例。该骨折通过前外侧入路并进行半月板下关节切开术进行处理,可实现直视,随后使用骨水泥和空心松质骨螺钉进行固定。术后影像学检查证实复位良好,患者预后满意。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8d18/10985421/560b5aac8811/cureus-0016-00000055416-i01.jpg

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