张候(ZH)骨折概要1.pptxVIP

张候骨折（Z-H骨折）胫骨下1/3螺旋骨折合并后踝骨折;定义;病因——胫骨骨折;病因——后踝骨折;Z-H骨折分型;Z-H骨折分度;漏诊原因分析;According to our retrospective study, in the 1,685 fractures of the tibia, 288 cases showed spiral fractures of the tibia, which were combined with PMFs in 28 cases, the PMF incidence was 9.7%. However, in our prospective study, 30 (88.2%) of 34 fractures of the tibia were combined with the PMFs. ; Plain radiographs are often insuf?cient for detecting posterior malleolus fractures in conjunction with ipsilateral distal third diaphyseal tibia fractures. Using a preoperative CT protocol for tibial shaft fractures can si