胫骨平台后外侧骨折手术入路的研究进展
Research Progress of Surgical Approach for Posterolateral Tibial Plateau Fractures
DOI: 10.12677/ACM.2022.122200, PDF,   
作者: 赵智勇：山东大学齐鲁医学院，山东 济南；山东大学附属山东省立医院创伤骨科，山东 济南；穆卫东：山东大学附属山东省立医院创伤骨科，山东 济南；山东第一医科大学附属省立医院创伤骨科，山东 济南
关键词: 胫骨平台骨折；平台后外侧骨折；手术入路；综述研究；Tibial Plateau Fracture； Posterolateral Tibial Plateau Fracture； Surgical Approach； Review Research
摘要: 目前对于胫骨平台后外侧骨折的手术入路仍然没有定论。由于后外侧的位置深在，骨折块隐蔽，导致术野显露困难。又因为前方有腓骨头和外侧副韧带遮挡导致可操作的空间较小。前外侧紧邻腓总神经，后方又靠近腘动静脉和胫神经，进一步增加了术中并发症的发生率，对于外科医生提出了挑战。在治疗这类骨折时，必须全面地了解这部分的解剖结构和可用的方法，手术入路的选择就变得尤为重要。本文将着重关注近年来关于胫骨平台后外侧骨折的相关临床研究文献，为临床外科医生在胫骨平台后外侧骨折的手术入路上提供帮助。
Abstract: The surgical approach for posterolateral tibial plateau fractures is still inconclusive. Due to the deep posterolateral position and concealment of the fracture fragments, it is difficult to expose the operative field. And because of the fibular head and the lateral collateral ligament in the front, the maneuverable space is small. The anterolateral proximity to the common peroneal nerve and the posterior proximity to the popliteal artery and vein and the tibial nerve further increase the incidence of intraoperative complications and pose a challenge to the surgeon. In the treatment of such fractures, a comprehensive understanding of this part of the anatomy and available methods is necessary, and the choice of surgical approach becomes particularly important. This article will focus on the relevant clinical research literature on posterolateral tibial fractures in recent years, and provide assistance to clinical surgeons in the surgical approach of posterolateral tibial plateau fractures.
文章引用：赵智勇, 穆卫东. 胫骨平台后外侧骨折手术入路的研究进展[J]. 临床医学进展, 2022, 12(2): 1381-1386. https://doi.org/10.12677/ACM.2022.122200

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