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Management of Proximal Tibial Fractures

机译:近端胫骨骨折管理

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摘要

The proximal tibia has been defined as the part of the tibia that extends from the knee joint distally for 1.5 times the medial to lateral joint width [53] (Fig. 1). Fractures that occur in this area are grossly heterogeneous and their prognosis depends on several factors. The most important are: (a) intra-articular involvement and severity (such as the degree of articular step-off and the extent and separation of condylar fracture lines), (b) the degree of fracture comminution and extension, (c) the condition of the soft-tissue envelope, (d) osteoporosis and (e) patient's age and co-morbidities [82].
机译:近端胫骨被定义为胫骨的一部分,胫骨远端延伸1.5倍到横向关节宽度[53](图1)。在该区域发生的骨折是严重的异质性,其预后取决于几个因素。最重要的是:(a)关节内的受累和严重程度(如关节降级程度和髁突骨裂缝线的程度和分离),(b)裂缝粉碎和延伸程度,(c)软组织包络病症,(d)骨质疏松症和(e)患者的年龄和持续生命性[82]。

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