胫骨后外侧平台骨折的常用手术入路△

Common surgical approaches for posterolateral tibial plateau fractures

摘要:

目前对于胫骨后外侧平台骨折(posterolateral tibial fractures, PLFs)的手术治疗方案尚无统一标准，胫骨后外侧平台解剖结构复杂，后外侧平台邻近腓骨小头、腓总神经、腘血管，又被强韧的腘肌及关节囊包裹。经传统前外侧入路暴露难以实现后外侧骨块的直接可视化。传统的前外侧入路术中视野受限。因此恢复 PLFs 后关节面的平整外形、轴向解剖对位以及实现骨性及韧带结构的稳定，仍然是一个挑战。本文将对 PLFs 的常用手术入路作一综述，为临床医生提供参考。

Abstract:

Currently there is no consensus on the surgical treatment of the posterolateral tibial fractures (PLFs). The posterolateral tibi- al plateau is a complex anatomical structure, which is adjacent to the fibular head, common peroneal nerve, popliteal blood vessel, and sur- rounded by the strong popliteal muscle and capsule. The traditional anterolateral approach can not achieve the direct visualization of the PLFs. Therefore, restoring the flat shape of the articular surface, the anatomical axial alignment, and achieving the bone and ligament struc- ture stability for the PLFs remain challenging.