Conclusions: The posteromedial approach offers an effective technique for fracture reduction and buttress plate fixation of large posterior malleolar fragments.

结论：通过后内侧手术入路可以有效的对骨折进行复位并对较大的后踝骨折块进行支撑钢板固定。

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Fixation with cancellous bone screw, unilateral buttress plate, bilateral buttress plate, unilateral buttress plate and cancellous bone screw had 4, 8, 4, 6 cases respectively.

松质骨螺钉固定4例，单侧支撑钢板内固定8例，双侧支撑钢板内固定4例，单侧支撑钢板加松质骨螺钉固定6例。

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Objective: To study therapeutic effects of buttress plate combined with over-articular and single-armed external fixation for the treatment of complex tibial plateau fractures.

目的：探讨支撑钢板和超关节单臂外固定器联合应用治疗复杂胫骨平台骨折的疗效。

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