摘要
髓内钉治疗胫骨干骺端骨折存在显著的骨折复位不良、再次移位、畸形愈合、骨折延迟愈合以及不愈合等并发症。为了减少并发症,一些髓内钉固定技术和复位技术已经得到了发展。包括使用恰当的进钉点以及进钉的角度、阻挡钉、单皮质钢板固定,以及多种可选择的复位固定时的体位及入路。这些技术的使用使并发症的发生率明显降低。
Tibial fractures are the most common long bone fractures.The benefits of intramedullary nailing of these fractures include load sharing,sparing of the extraosseous blood supply,and avoidance of additional soft-tissue dissection.But the significant rates of primary and secondary malalignment,malunion,delayed healing and non-healing complications with intramedullary nailing of tibial metaphyseal fractures have been reported.Several nailing methods and reduction techniques have been developed to minimize this complications,including the use of a proper starting point and insertion angle,blocking screws,unicortical plates,and alternative positioning and approaches.These technologies have significantly reduced the incidence of complications.
出处
《黑龙江医学》
2013年第2期115-122,共8页
Heilongjiang Medical Journal
基金
天津市卫生局攻关课题(项目编号:KG109)资助项目
关键词
髓内钉
胫骨干骺端骨折
锁钉
技术
Intramedullary nail
Metaphyseal fIacture of tibia
Lnterlocking
Techniques
