Shelton W R, Canale S T
J Bone Joint Surg Am. 1979 Mar;61(2):167-73.
Thirty-nine fractures of the tibia involving the proximal tibial epiphyseal cartilage were treated at the Campbell Clinic over a twenty-five-year period. Stress roentgenograms were essential in making the diagnosis in three patients. Two patients had disruption of the popliteal artery, and both had posterior displacement of the tibial shaft. The other immediate complications that we encountered were anterior compartment syndrome, peroneal-nerve palsy, and associated ligamentous and meniscal injuries. Of twenty-eight fractures (twenty seven patients) with an average follow-up of 7.1 years, there were satisfactory results in twenty-four. Unsatisfactory results (four fractures) were due to chronic neurovascular insufficiency, growth disturbance, or traumatic arthritis.
在25年的时间里，坎贝尔诊所共治疗了39例累及胫骨近端骨骺软骨的胫骨骨折。应力位X线片对3例患者的诊断至关重要。2例患者出现腘动脉断裂，且胫骨干均向后移位。我们遇到的其他早期并发症包括骨筋膜室综合征、腓总神经麻痹以及相关的韧带和半月板损伤。28例骨折患者（27名患者）平均随访7.1年，其中24例结果满意。结果不满意的4例骨折是由于慢性神经血管功能不全、生长发育障碍或创伤性关节炎所致。
