Mabit C, Mallet T, Pecout C, Dunoyer J
J Chir (Paris). 1985 Dec;122(12):701-6.
A series of 80 cases of recent isolated fracture of tibia in adults demonstrated the specific problems raised by this type of fracture, related for the most part to the integrity of the fibular splint. A resulting therapeutic attitude is based on a biomechanical study, the place of osteotomy of the fibula being discussed: orthopaedic treatment is suggested for fractures without displacement, under strict radiologic surveillance, and surgical treatment for fractures with primary or secondary displacement. The indications for fibular osteotomy are reviewed.
一组80例成人近期单纯胫骨骨折病例显示了这类骨折所引发的特殊问题，这些问题大多与腓骨支撑的完整性有关。由此产生的治疗态度基于一项生物力学研究，其中讨论了腓骨截骨术的位置：对于无移位骨折，建议在严格的放射学监测下进行矫形治疗，对于有原发性或继发性移位的骨折则进行手术治疗。文中还回顾了腓骨截骨术的适应证。
