Hackenbruch W
Fortschr Med. 1977 Jan 27;95(4):219-28.
Comminuted intraarticular fractures of the distal end of the tibia have considerably increased. This is due to the modern manner and equipment of skiing. Skiing is the cause of these lesions in about 80%. According to the mechanism of the accident and to the localization of the damage of the bone there are special types of fracture. The diagnosis on the X-ray picture is easy. A great problem is the therapy as the joint is mostly considerably damaged. Today the operative reconstruction with the modern procedure of osteosynthesis accoriding to the principles of ASIF is generally accepted. Even if the operative therapy is optimal the late results are not satisfactory in a high number of cases. A chance for prophylaxis is only expected in the responsible behaviour of the skier.
胫骨远端关节内粉碎性骨折的病例显著增多。这是由于现代滑雪方式和装备所致。在约80%的此类病例中，滑雪是造成这些损伤的原因。根据事故机制和骨骼损伤部位，存在特殊类型的骨折。X线片诊断并不困难。但由于关节大多严重受损，治疗成为一大难题。如今，依据AO/ASIF原则采用现代接骨术进行手术重建已被广泛接受。即便手术治疗堪称最佳，仍有大量病例的远期效果不尽人意。预防的唯一希望在于滑雪者的责任行为。
