Kellam J F, Waddell J P
J Trauma. 1979 Aug;19(8):593-601. doi: 10.1097/00005373-197908000-00007.
In a study of 26 distal tibial explosion fractures in 24 patients two fracture patterns were identified: Type A, a rotational pattern; and Type B, a compressive fracture pattern. The rotational pattern was found to be less common than the compressive fracture and to have a substantially better prognosis. Operative treatment of the Type A pattern led to an overall acceptable result of 84%, while the Type B patients had 53% acceptable results. The results of operative treatment were however, superior to the results of nonoperative treatment in both fracture groups. Adequate treatment consists of anatomic reconstruction of the distal tibia, rigid internal fixation, early active motion, and nonweight bearing in 3 to 5 months.
在一项针对24例患者的26处胫骨干骺端爆炸骨折的研究中，确定了两种骨折类型：A型为旋转型骨折；B型为压缩型骨折。发现旋转型骨折比压缩型骨折少见，且预后明显更好。A型骨折的手术治疗总体可接受率为84%，而B型骨折患者的可接受率为53%。然而，在两个骨折组中，手术治疗的结果均优于非手术治疗。充分的治疗包括胫骨干骺端的解剖重建、坚强内固定、早期主动活动以及3至5个月内不负重。
