1、后外侧胫骨平台骨折潘德悦定义胫骨平台骨折 -是指骨折线累及胫骨近端关节面的骨折后外侧胫骨平台的定义？后外侧后外侧胫骨平台解剖解剖后外侧复合体！（ PLC）维持膝关节后外侧稳定外侧副韧带腘肌腱复合体腘腓韧带弓状韧带后外侧关节囊解剖外翻角： 87 （ 85-90） 后倾角： 0-10Cong-Feng Luo.Reference axes for reconstruction of the knee. The Knee 2004, 11:253-257损伤机制低能量损伤屈曲伸直外翻 内翻过伸影像学检查 X线 CT MRI CTA或动脉血管造影分型Schatzker 分型AO/OTA分型三柱分型Ho
2、hl-Moore分型Schatzker 分型Schatzker J, McBroom R, Bruce D. The tibial plateau fracture. The Torontoexperience 1968-1975. Clin Orthop Relat Res. 1979 Jan-Feb;(138):94-104.AO/OTA分型关节外骨折 (Type A)单髁骨折 (Type B)双髁骨折 (TyPe C)三柱分型Luo CF, Sun H, Zhang B, Zeng BF. Three-column fixation for complex tibial plateau
3、fractures. J Orthop Trauma. 2010 Nov;24(11):683-92.这是几型？AO ： 41-B3 Schatzker： 型 三柱：外侧 +后侧柱 治疗 关 节 塌陷和分离 3 mm 干 骺 端明 显 移位或成角 5 开放性骨折合并血管神 经损伤 出 现 骨筋膜 间 隔 综 合征等 屈膝不稳 单纯后外侧平台骨折单纯后外侧平台骨折治疗手术治疗指征1.Thomas C， Athanasiov A， Wullschleger M， et a1 Current concepts in tibial plateau fracturesJ Acta Chir Orthop
4、 Traumatol Cech， 2009， 76(5)： 363 3732.Papagelopoulos PJ,Partsinevelos AA,Themistocleous GS,et al.Complications after tibia plateau fracture surgeryJ.Injury,2006,37(6)： 475484前外侧入路治疗后正中入路Hughston JC. A surgical approach to the medial and posterior ligaments of the knee. Clin Orthop Relat Res 1973;91
5、(91):2933倒 L入路Luo CF, Sun H, Zhang B, Zeng BF. Three-column fixation for complex tibial plateau fractures. J Orthop Trauma. 2010 Nov;24(11):683-92.扩大 Tscherne-Johnson 入路治疗Johnson EE, Timon S, Osuji C. Surgical technique: Tscherne-Johnson extensile approach for tibial plateau fractures. Clin Orthop R
6、elat Res. 2013 Sep;471(9):2760-7.后外侧骨折 -后外侧切口入路Chang SM, Zheng HP, Li HF, Jia YW, Huang YG, Wang X, Yu GR. Treatment ofisolated posterior coronal fracture of the lateral tibial plateau throughposterolateral approach for direct exposure and buttress plate fixation. ArchOrthop Trauma Surg. 2009 Jul;12
7、9(7):955-62Chang SM, Zheng HP, Li HF, Jia YW, Huang YG, Wang X, Yu GR. Treatment ofisolated posterior coronal fracture of the lateral tibial plateau throughposterolateral approach for direct exposure and buttress plate fixation. ArchOrthop Trauma Surg. 2009 Jul;129(7):955-62后外侧骨折 -后外侧切口入路后外侧骨折 -前外侧扩
8、大切口入路后外侧骨折 -后正中切口入路后外侧骨折 -腓骨头截骨入路Yu B, Han K, Zhan C, Zhang C, Ma H, Su J. Fibular head osteotomy: a new approach for the treatment of lateral or posterolateral tibial plateau fractures.Knee. 2010 Oct;17(5):313-8.后外侧骨折 -Carlson入路Carlson DA. Posterior bicondylar tibial plateau fractures. J Orthop Trauma.2005 Feb;19(2):73-8Frosch KH, Balcarek P, Walde T, Strmer KM. A new posterolateral approachwithout fibula osteotomy for the treatment of tibial plateau fractures. J Orthop Trauma. 2010 Aug;24(8):515-20.后外侧骨折 -Frosch入路经腓骨头上入路
