Rehn J
Zentralbl Chir. 1977;102(15):905-11.
Fractures of the tibial head should be treated operatively only in cases in which the result can be expected to be better than by conservative methods. The osteosynthesis should bring stability in order to allow training of the joint. Depending on the type of the fracture, screws or T-plates or L-plates can be used. In cases of depressed fractures it is most important to restore the level of the joint by underlying the impression by autogen spongiosa.
仅在预期手术结果优于保守治疗方法的情况下，才应对胫骨头部骨折进行手术治疗。骨固定应带来稳定性，以便对关节进行训练。根据骨折类型，可使用螺钉、T形钢板或L形钢板。对于凹陷性骨折，通过自体松质骨支撑凹陷以恢复关节平面最为重要。
