中国骨伤2025，Vol.38Issue(1)：100-104,5.DOI:10.12200/j.issn.1003-0034.20240268
关节内矢状面复位对胫骨平台骨折治疗的指导意义
Guiding significance of intra-articular sagittal reduction in the treatment of tibial plateau fractures
张家凡 1龙安华 1韩大成 1贾梓超 2张亚奎1
作者信息
- 1. 首都医科大学附属北京潞河医院,北京 101149
- 2. 应急管理部应急总医院,北京 100020
- 折叠
摘要
Abstract
Tibial plateau fracture is a fracture involving the proximal articular surface of the tibia,and its injury mecha-nism is complex,the fracture morphology is different,and it is often accompanied by different degrees of soft tissue injury,which is difficult to diagnose and treat.In recent years,the research hotspot has focused on solving the reduction and fixation of the posterior lateral column of the tibial plateau,because it has been clinically found that the residual sagittal plane after tibial plateau fracture is insufficient reduction or loss of reduction leads to knee joint dysfunction.The posterior inclination angle of the tibial plateau is an important parameter to describe the sagittal alignment of the tibia.In the natural state,the posterior tibial slope(PTS)is altered to involve the soft tissues around the knee joint such as anterior cruciate ligament(ACL)and posterior cruciate ligament(PCL),which affects the stability of the knee joint.In total knee arthroplasty(TKA),choosing the appropriate PTS can effectively increase the prosthesis survival rate,improve the flexion and extension knee efficacy,which is beneficial to knee joint stability.In the field of orthopedic trauma,correction of sagittal deformity is equally important,following the princi-ple of"reverse mechanism of injury".Quantitative evaluation of postoperative sagittal realignment of tibial plateau fractures and investigation of the effect of sagittal realignment on long-term outcomes and complications are still poorly understood and re-quire further clinical and biomechanical studies.关键词
胫骨平台骨折/矢状面畸形/胫骨平台后倾角/前交叉韧带/生物力学Key words
Tibial plateau fracture/Sagittal deformity/Posterior tibial slope/Anterior cruciate ligament/Biome-chanics分类
医药卫生引用本文复制引用
张家凡,龙安华,韩大成,贾梓超,张亚奎..关节内矢状面复位对胫骨平台骨折治疗的指导意义[J].中国骨伤,2025,38(1):100-104,5.
