Послать статью по эл. почте 
ВНУТРИСУСТАВНЫЕ ПЕРЕЛОМЫ ДИСТАЛЬНОГО ОТДЕЛА БОЛЬШЕБЕРЦОВОЙ КОСТИ: ЭВОЛЮЦИЯ ВЗГЛЯДОВ НА ХИРУРГИЧЕСКОЕ ЛЕЧЕНИЕ (ОБЗОР ЛИТЕРАТУРЫ)
Аннотация
РЕЗЮМЕ. Переломы пилона являются одними из наиболее сложных для лечения повреждений. В послед нее время частота внутрисуставных переломов дистального отдела большеберцовой кости стремительно увеличивается, но бурные дискуссии по поводу оптимальных хирургических методов лечения и об оптимальном времени операции продолжаются. Целью статьи является обзор различных методов лечения переломов пилона и эволюции взглядов на лечение подобных переломов.
Об авторах
В. В. СластининРоссия
м.н.с. отделения неотложной травматологии опорно-двигательного аппарата
И. Ю. Клюквин
Россия
О. П. Филиппов
Россия
Ю. А. Боголюбский
Россия
Список литературы
1. Бондарев О.Н., Ситник А.А., Белецкий А.В. Переломы проксимального отдела большеберцовой кости: современные методы диагностики и лечения // Военная медицина. – 2010. – № 2. – С. 46–50. Bondarev O.N., Sitnik A.A., Beletskiy A.V. Perelomy proksimal’nogo otdela bol’shebertsovoy kosti: sovremennye metody diagnostiki i lecheniya [Fractures of the proximal tibia: modern methods of diagnosis and treatment]. Voennaya meditsina. 2010; 2: 46–50. (In Russian).
2. Гольдман Б.Л., Литвинова Н.А., Корнилов Б.М. К вопросу об оперативном лечении переломов // Ортопедия, травматология и протезирование. – 1986. – № 9. – С. 69–76. Gol’dman B.L., Litvinova N.A., Kornilov B.M. K voprosu ob operativnom lechenii perelomov [To the question of operative treatment of fractures]. Ortopediya, travmatologiya i protezirovanie. 1986; 9: 69–76. (In Russian).
3. Звездина М.В., Клюквин И.Ю., Хватов В.Б. и др. Местное лечение пострадавших с укушенной травмой с применением биологически активных повязок и их влияние на реологический статус // Скорая медицинская помощь. – 2009. – № 2. – С. 74–77. Zvezdina M.V., Klyukvin I.Yu., Khvatov V.B., et al. Mestnoe lechenie postradavshikh s ukushennoy travmoy s primeneniem biologicheski aktivnykh povyazok i ikh vliyanie na reologicheskiy status [Local treatment of victims bitten with the injury with the use of biologically active dressings and their impact on rheological status]. Skoraya meditsinskaya pomoshch’. 2009; 2: 74–77. (In Russian).
4. Кузнецов И.А. Оперативное лечение компрессионно-оскольчатых переломов мыщелков большеберцовой кости // Внутренний остеосинтез. Проблемы и перспективы развития: тез. докл. Всерос. науч.-практ. конф. – СПб., 1995. – С. 34–36. Kuznetsov I.A. Operativnoe lechenie kompressionno-oskol’chatykh perelomov myshchelkov bol’shebertsovoy kosti [Surgical treatment of compression-comminuted fractures of the tibiacondyles]. Vnutrenniy osteosintez. Problemy i perspektivy razvitiya: tez. dokl. Vseros. nauch.- prakt. konf. [Internal osteosynthesis. Problems and prospects of development: abstracts of all-Russian scientific and practical сonf.]. Saint Petersburg, 1995. 34–36. (In Russian).
5. Heim U. Morphological features for evaluation and classification of pilon tibial fractures // Major Fractures of the Pilon, the Talus, and the Calcaneus / eds. H.Tscherne, J. Schatzker. – Berlin: Springer-Verlag, 1993. – P. 29–41.
6. Hulscher J.B., te Velde E.A., Schuurman A.H., et al. Arthrodesis after osteosynthesis and infection of the ankle joint // Injury. – 2001. – Vol. 32. – P. 145–152.
7. Coughlin M.J., Saltzman C.L. Surgery of the Foot and Ankle. – 8th ed. – Philadelphia: Mosby Elsevier, 2007. – Vol. II, Part X. – Ch. 36. Trauma: Pilon Fractures.
8. Souza T.R., Fonseca S.T., Goncalves G.G., et al. Prestress revealed by passive co-tension at the ankle joint // J. Biomech. – 2009. – Vol. 42, N. 14. – P. 2374–2380.
9. Zelle B.A., Bhandari M., Espiritu M., et al. Treatment of distal tibia fractures without articular involvement : a systematic review of 1125 fractures // J. Orthop. Trauma. – 2006. – Vol. 20. – P. 76–79.
10. Helfet D.L., Koval K., Pappas J., et al. Intraarticular “pilon” fracture of the tibia // Clin. Orthop. Relat. Res. – 1994. – N. 298. – P. 221–228.
11. Pugh K.J., Wolinsky P.R., McAndrew M.P., Johnson K.D. Tibial pilon fractures: a comparison of treatment methods // J. Trauma. – 1999. – Vol. 47, N. 5. – P. 937–941.
12. Tarkin I.S., Clare M.P., Marcantonio A., Pape H.C. An update on the management of high-energy pilon fractures // Injury. – 2008. – Vol. 39, N. 2. – P. 142–154.
13. Bedi A., Le T.T., Karunakar M.A. Surgical treatment of nonarticular distal tibia fractures // J. Am. Acad. Orthop. Surg. – 2006. – Vol. 14, N. 7. – P. 406–416.
14. Lee J., Baranowski A. Long-term pain: a guide to practical management. –1st ed. – Oxford, UK: Oxford University Press, 2007. – 88 p.
15. Mauffrey C., Vasario G., Battiston B., et al. Tibial pilon fractures: a review of incidence, diagnosis, treatment, and complications // Acta Orthop. Belg. – 2011. – Vol. 77, N. 4. – P. 432–440.
16. Rockwood and Green’s fractures in adults / eds. C.A. Rockwood Jr, D.P. Green, R.W. Buchholz. –3rd ed. – Philadelphia: Lippincott Williams & Wilkins, 1991.
17. Rüedi T.P., Allgower M. The operative treatment of intra-articular fractures of the lower end of the tibia // Clin. Orthop. Relat. Res. – 1979. – N. 138. – P. 105–110.
18. Ovadia D.N., Beals R.K. Fractures of the tibial plafond // J. Bone Joint Surg. Am. – 1986. – Vol. 68, N. 4. – P. 543–551.
19. Schatzker J., Tile M. The Rationale for Operative Fracture Care. –1st ed. – New York, Springer-Verlag, 1987.
20. McFerran M.A., Smith S.W., Boulas H.J., Schwartz H.S. Complications encountered in the treatment of pilon fractures // J. Orthop. Trauma. – 1992. – Vol. 6, N. 2. – P. 195–200.
21. Teeny S.M., Wiss D.A. Open reduction and internal fixation of tibial plafond fractures. Variables contributing to poor results and complications // Clin. Orthop. Relat. Res. – N. 292. – P. 108–117.
22. Griffiths G.P., Thordarson D.B. Tibial plafond fractures: Limited internal fixation and a hybrid external fixator // Foot. Ankle Int. – 1996. – Vol. 17, N. 8. – P. 444–448.
23. Vives M.J., Abidi N.A., Ishikawa S.N., et al. Soft tissue injuries with the use of safe corridors for transfixion wire placement during external fixation of distal tibia fractures: An anatomic study // J. Orthop. Trauma. – 2001. – Vol. 15, N. 8. – P. 555–559.
24. Hutson J.J. Jr, Zych G.A. Infections in periarticular fractures of the lower extremity treated with tensioned wire hybrid fixators // J. Orthop. Trauma. – 1998. – Vol. 12, N. 3. – P. 214–218.
25. Sirkin M., Sanders R., DiPasquale T., Herscovici D. Jr. A staged protocol for soft tissue management in the treatment of complex pilon fractures // J. Orthop. Trauma. – 1999. – Vol. 13, N. 2. – P. 78–84.
26. Calori G.M., Tagliabue L., Mazza E., et al. Tibial pilon fractures: which method of treatment? // Injury. – 2010. – Vol. 41, N. 11. – P. 1183– 1190.
27. Othman M., Strzelczyk P. Results of conservative treatment of “pilon” fractures // Ortop. Traumatol. Rehabil. – 2003. – Vol. 5, N. 6. – P. 787– 794.
28. Höntzsch D, Karnatz N, Jansen T. One-or two-step management (with external fixator) of severe pilon-tibial fractures // Aktuelle Traumatol. – 1990. – Vol. 20, N. 4. – P. 199–204.
29. Dirschl D.R., Del Gaizo D. Staged management of tibial plateau fractures // Am. J. Orthop. (Belle Mead. NJ). – 2007. – Vol. 36, N. 4. – Suppl. – S12–S17.
30. Egol K.A., Tejwani N.C., Capla E.L., et al. Staged management of highenergy proximal tibia fractures (OTA types 41). The results of a prospective, standardized protocol // J. Orthop. Trauma. – 2005. – Vol. 19, N. 7. – P. 448–456.
31. Bartlett G.S., Weiner L.S. Tibia and Pilon. Fractures in the Elderli // Howson M.P., Kerrigan, C.L. Handy views: radiographic positioning of the hand and wrist. – Philadelphia: Lippincott-Raven, 1998. – P. 217–232.
32. Thomas Ch., Athanasiov A., Wullschleger M., Schuetz M. Current concepts in tibial plateau fractures // Acta Chir. Orthop. Traumatol. Cech. – 2009. – Vol. 76, N. 5. – P. 363–373.
33. Ziran B.H., Hooks B., Pesantez R. Complex fractures of the tibial plateau // J. Knee Surg. – 2007. – Vol. 20. – P. 67–77.
34. Anglen J.O., Aleto T. Temporary transarticular external fixation of the knee and ankle // J. Orthop. Trauma. – 1998. – Vol. 12, N. 6. – P. 431– 434.
35. Berkson E.M., Virkus W.W. High-energy tibial plateau fractures // J. Am. Acad. Orthop. Surg. – 2006. – Vol. 14. – P. 20–31.
36. Kulkarni G.S. Textbook of Orthopedics and Trauma (4 Vols Set). – 2nd ed. – Jaypee Brothers Medical Pub., 2009. – 1090 p.
37. Mankar S.H., Golhar A.V., Shukla M., et al. Outcome of complex tibial plateau fractures treated with external fixator // Indian J. Orthop. – 2012. – Vol. 46, N. 5. – P. 570–574.
38. Mikulak S.A., Gold S.M., Zinar D.M. Small wire external fixation of high energy tibial plateau fractures // Clin. Orthop. Relat. Res. – 1998. – N. 356. – P. 230–238.
39. Song J.S., Wang L. Preoperative traction of calcaneus in the treatment of Rüedi-Allgöwer II and III pilon fracture // Zhongguo Gu Shang. – 2013. – Vol. 26, N. 6. – P. 512–514.
40. El-Sallab R.M., Bassiouni Y.E., El-Mwafi H.Z., Hammad A.A. Staged Management of Comminuted Intra-articular Pilon Fracture // Pan. Arab. J. Orth. Trauma. – 2003. – Vol. 7, N. 1. – P. 83–94.
41. Nierengarten M.B., Webb L.X., Birkedal J. Open Tibial Pilon Fractures: Complications and Issues of Limb Salvage // Medscape Orthop. Sports Med. – 2001. – Vol. 5, N. 3. – Medscape Portals, Inc.
42. Leonard M., Magill P., Khayyat G. Minimally-invasive treatment of high velocity intra-articular fractures of the distal tibia // Int. Orthop. – 2009. – Vol. 33, N. 4. – P. 1149–1153.
43. Liao Q., Weng X., Li K., et al. One-stage management of open distal tibial Pilon fractures // Zhong Nan Da Xue Xue Bao Yi Xue Ban. – 2009. – Vol. 34, N. 10. – P. 1003–1007.
44. Skeletal Trauma: Basic Science, Management, and Reconstruction: 2 Vol. Set / Browner B.D., Levine A.M., Jupiter J.B., et al. – Elsevier Health Sciences, 2009. – 2784 p.
45. Rüedi T.P., Allgower M. The operative treatment of intra-articular fractures of the lower end of the tibia // Clin. Orthop. Relat. Res. – 1979. – N. 138. – P. 105–110.
46. Furey A., Floyd J.C., O’Toole R.V. Treatment of tibial plateau fractures // Curr. Opin. Orthop. – 2007. – Vol. 18, N. 1. – P. 49–53.
47. Borrelli J. Jr, Prickett W., Song E., et al. Extraosseous bloodsupply of the tibia and the effects of different plating techniques: A human cadaveric study // J. Orthop. Trauma. – 2002. – Vol. 16, N. 10. – P. 691–695.
48. Collinge C.A., Sanders R.W. Percutaneous plating in the lower extremity // J. Am. Acad. Orthop. Surg. – Vol. 8, N. 4. – P. 211–216.
49. François J., Vandeputte G., Verheyden F., Nelen G. Percutaneous plate fixation of fractures of the distal tibia // Acta Orthop. Belg. – 2004. – Vol. 70, N. 2. – P. 148–154.
50. Krettek C., Müller M., Miclau T. Evolution of minimally invasive plate osteosynthesis (MIPO) in the femur // Injury. – 2001. – Vol. 32, Suppl. 3. – S14–S23.
51. Zhao L., Li Y., Chen A., et al. Treatment of type C pilon fractures by external fixator combined with limited open reduction and absorbable internal fixation // Foot Ankle Int. – 2013. – Vol. 34, N. 4. – P. 534–542.
52. Blauth M., Bastian L., Krettek C., et al. Surgical options for the treatment of severe tibial pilon fractures: a study of three techniques // J. Orthop. Trauma. – 2001. – Vol. 15, N. 3. – P. 153–160.
53. Hulscher J.B., te Velde E.A., Schuurman A.H., et al. Arthrodesis after osteosynthesis and infection of the ankle joint // Injury. – 2001. – Vol. 32, N. 2. – P. 145–152.
54. Atesok K., Doral M.N., Whipple T., et al. Arthroscopy-assisted fracture fixation // Knee Surg. Sports Traumatol. Arthrosc. – 2011. – Vol. 19, N. 2. – P. 320–329.
55. Laurencin C., Khan Y., El-Amin S.F. Bone graft substitutes // Expert Rev. Med. Devices. – 2006. – Vol. 3. – P. 49–57.
56. Pollock R., Alcelik I., Bhatia C., et al. Donor site morbidity following iliac crest bone harvesting for cervical fusion: a comparison between minimally invasive and open techniques // Eur. Spine J. – 2008. – Vol. 17, N. 6. – P. 845–852.
57. Friedlaender G.E. Immune responses to osteochondral allografts. Current knowledge and future directions // Clin. Orthop. Relat. Res. – 1983. – N. 174. – P. 58–68.
58. Samartzis D., Shen F.H., Goldberg E.J., An H.S. Is autograft the gold standard in achieving radiographic fusion in one-level anterior cervical discectomy and fusion with rigid anterior plate fixation? // Spine (Phila Pa. 1976). – 2005. – Vol. 30. – P. 1756–1761.
59. Bauer T.W., Muschler G.F. Bone graft materials: an overview of the basic science // Clin. Orthop. Relat. Res. – 2000. – N. 371. – P. 10–27.
60. Greenwald A.S., Boden S.D., Goldberg V.M., et al. American Academy of Orthopaedic Surgeons. The Committee on Biological implants. Bonegraft substitutes: facts, fictions, and applications // J. Bone Joint Surg. Am. – 2001. – Vol .83-A, Suppl. 2. – P. 98–103.
61. Finkemeier C.G. Bone-grafting and bone-graft substitutes // J. Bone Joint Surg. Am. – 2002. – Vol. 84A, N. 3. – P. 454–464.
62. Putzier M., Strube P., Funk J.F., et al. Allogenic versus autologous cancellous bone in lumbar segmental spondylodesis: a randomized prospective study // Eur. Spine J. – 2009. – Vol. 18, N. 5. – P. 687–695.
63. Connolly J.F. Injectable bone marrow preparations to stimulate osteogenic repair // Clin. Orthop. Relat. Res. – 1995. – N. 313. – P. 8–18.
64. Tiedeman J.J., Garvin K.L., Kile T.A., Connolly J.F. The role of a composite, demineralized bone matrix and bone marrow in the treatment of osseous defects // Orthopedics. – 1995. – Vol. 18, N. 12. – P. 1153–1158.
65. Habibovic P., de Groot K. Osteoinductive biomaterials-properties and relevance in bone repair // J. Tissue Eng. Regen. Med. – 2007. – Vol. 1. – P. 25–32.
66. Raimondi M.T., Bonacina E., Candiani G., et al. Comparative chondrogenesis of human cells in a 3D integrated experimental-computational mechanobiology model // Biomech Model Mechanobiol. – 2011. – Vol. 10, N. 2. – P. 259–268.
67. Heir S., Nerhus T.K., Rotterud J.H., et al. Focal cartilage defects in the knee impair quality of life as much as severe osteoarthritis: a comparison of knee injury and osteoarthritis outcome score in 4 patient categories scheduled for knee surgery // Am. J. Sports Med. – 2010. – Vol. 38, N. 2. – P. 231–237.
68. Hunziker E.B. Articular cartilage repair: basic science and clinical progress. A review of the current status and prospects // Osteoarthr. Cartil. – 2002. – Vol. 10, N. 6. – P. 432–446.
69. Kusano T., Jakob R.P., Gautier E., et al. Treatment of isolated chondral and osteochondral defects in the knee by autologous matrix-induced chondrogenesis (AMIC) // Knee Surg. Sports Traumatol. Arthrosc. – 2012. – Vol. 20, N. 10. – P. 2109–2115.
70. Behrens P. Matrixgekoppelte Mikrofrakturierung // Arthroskopie. – 2005. – Vol. 18, N. 3. – P. 193–197.
71. Pollak A.N., McCarthy M.L., Bess R.S., et al. Outcomes after treatment of high-energy tibial plafond fractures // J. Bone Joint Surg. Am. – 2003. – Vol. 85-A, N. 10. – P. 1893–1900.
Дополнительные файлы
Для цитирования: Сластинин В.В., Клюквин И.Ю., Филиппов О.П., Боголюбский Ю.А. ВНУТРИСУСТАВНЫЕ ПЕРЕЛОМЫ ДИСТАЛЬНОГО ОТДЕЛА БОЛЬШЕБЕРЦОВОЙ КОСТИ: ЭВОЛЮЦИЯ ВЗГЛЯДОВ НА ХИРУРГИЧЕСКОЕ ЛЕЧЕНИЕ (ОБЗОР ЛИТЕРАТУРЫ). Журнал им. Н.В. Склифосовского «Неотложная медицинская помощь». 2015;(3):23-29.
For citation: Slastinin V.V., Klyukvin I.Y., Filippov O.P., Bogolyubsky Y.A. INTRA-ARTICULAR FRACTURES OF THE DISTAL TIBIA: EVOLVING OF VIEWS ON SURGICAL TREATMENT. Russian Sklifosovsky Journal "Emergency Medical Care". 2015;(3):23-29. (In Russ.)
Обратные ссылки
- Обратные ссылки не определены.
