Waddell J P, Johnston D W, Neidre A
J Trauma. 1981 May;21(5):376-81. doi: 10.1097/00005373-198105000-00007.
Ninety-five patients with fractures of the tibial plateau have been reviewed. The fractures were grouped, according to the X-ray pattern, into five fracture types. Treatment was grouped into plaster immobilization or traction in the conservative group, and open reduction with internal fixation, open reduction with bone grafting, or open reduction with internal fixation and bone grafting in the operated group. It was concluded from this review that tibial plateau depression or tibial plateau widening of less than 10 mm was usually tolerated well and did not preclude a successful result. Adequacy of reduction was a least as important as early motion in obtaining a satisfactory result regardless of the type of fracture treated. If open reduction is undertaken both internal fixation and bone grafting are required in the most common types of these fractures. The exceptions are Type I or split fractures which do not require a bone graft and Type III or central depression fractures which do not require internal fixation.
对95例胫骨平台骨折患者进行了回顾性研究。根据X线表现，将骨折分为五种类型。治疗方法分为保守组的石膏固定或牵引，以及手术组的切开复位内固定、切开复位植骨或切开复位内固定加植骨。通过本次回顾得出结论，胫骨平台塌陷或增宽小于10mm通常耐受性良好，并不妨碍获得成功的结果。无论治疗的骨折类型如何，在获得满意结果方面，复位的充分性与早期活动至少同样重要。如果进行切开复位，在这些最常见的骨折类型中都需要内固定和植骨。例外情况是I型或劈裂骨折不需要植骨，III型或中央塌陷骨折不需要内固定。
