Goessens M L, van de Wildenberg F J, Eggink G J, Stapert J W
Department of Surgery, University Hospital Maastricht, The Netherlands.
J Trauma. 1999 May;46(5):853-62. doi: 10.1097/00005373-199905000-00014.
This study was carried out to evaluate the first clinical experiences with the telescopic locking nail (TLN). The TLN is a newly developed universal locking nail system for both femur and tibia that permits cyclic dynamic loading at the fracture site while weightbearing. The nail can also be used for static interlocking or for compression of the fracture elements. The nail is strong enough to permit immediate weightbearing, and the diameter of 9 mm allows unreamed introduction in many cases.
Seventy-one consecutive patients were treated with the TLN, 24 patients with femoral and 47 patients with tibial fracture or nonunion.
Functional outcome, complication rate, and union rate were comparable to other interlocking nail systems.
Its distinctive biomechanical properties and its universal application in both femur and tibia make the TLN a sophisticated, yet in practice simple, new asset in the practice of intramedullary nailing.
本研究旨在评估可延长锁定钉（TLN）的首批临床应用经验。TLN是一种新开发的用于股骨和胫骨的通用锁定钉系统，在负重时允许骨折部位进行循环动态加载。该钉还可用于静态交锁或骨折块的加压。该钉足够坚固，允许立即负重，9毫米的直径在许多情况下允许不扩髓插入。
连续71例患者接受了TLN治疗，其中24例为股骨骨折，47例为胫骨骨折或骨不连。
功能结果、并发症发生率和骨愈合率与其他交锁钉系统相当。
其独特的生物力学特性以及在股骨和胫骨中的通用应用，使TLN成为髓内钉治疗中一种复杂但实际操作简单的新型工具。
