位,后方铰链侧完整,成鸟嘴状;?III型:完全移位,? 3a 仅累及acl 止点;? 3b 整个髁间棘?注:Meyers-Mckeever-Zaricznyj分型将3b详细叙述,单独分出为Ⅳ型。?(Ⅳ型:分层碎裂骨折,完全抬起并翻转)РThe modified classification of tibial intercondylar eminence fracture. (改良的Meyers – McKeever分型更简单明了、易记)?A, Type I, nondisplaced.无移位? B, Type II, displaced anterior margin with an intact posterior cortex acting as a hinge. 前部移位张口、后部以骨皮质铰链? C, Type pletely displaced and void of all bony contact. 完全移位,骨质无连接? D, Type IV, comminuted.移位并粉碎Р治疗措施的选择РType II? Type II fractures can be managed?nonsurgically when essful closed?reduction is achieved.闭合复位成功2型亦可非手术治疗Р治疗措施的选择РSurgical Management? Recent advances in arthroscopic technique have led to a trend of arthroscopic fixation for type II, III, and IV tibial eminence fractures.Р治疗措施的选择Р国内主流观点关节镜下手术РI型保守治疗III型手术治疗基本已成定论?对于II型骨折的治疗仍有争议。
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