临床上胫骨平台后外侧骨折常伴随胫骨平台其他部位的骨折,而其孤立发生的病例并不多见.由于解剖部位特殊,同时受腓骨头、外侧副韧带等毗邻结构遮挡,胫骨平台后外侧骨折的显露和固定均较为困难.为增加显露范围,便于骨折的复位和内固定,各种手术入路应运而生,其选择视骨折形态和选用的内植物类型而定.该文对胫骨平台后外侧骨折的手术入路及内固定技术的研究进展进行综述.

With accelerated aging process of the population, femoral intertrochanteric fractures have gradually become another major social health problem in China. Internal fixation is still the gold standard treatment for the fractures. Fracture reduction is the first step of the treatment and also the first element that affects the treatment efficacy. It is still controversial in clinical practice how to evaluate the quality of fracture reduction during internal fixation of the fractures. This article systematically expounds and analyzes the 7 systems of judging criteria for the reduction of intertrochanteric fractures from the aspects of fracture alignment, fracture apposition, difference in judgment criteria, and difference in imaging methods, in order to provide a reference for reaching consensus and improving curative effects.