Johnson A L, DeCamp C E
Department of Small Animal Clinical Sciences, Michigan State University, East Lansing, USA.
Vet Clin North Am Small Anim Pract. 1999 Sep;29(5):1135-52, vi-vii. doi: 10.1016/s0195-5616(99)50106-x.
Linear external skeletal fixators offer some unique advantages over other fixation systems; they are biomechanically versatile, minimize surgical trauma to the fracture environment, and allow for simple staged disassembly to help promote bone healing. Historically, the use of linear external skeletal fixators has been reported to result in numerous complications, primarily related to the pin-bone interface. External skeletal fixators have experienced a resurgence in the past two decades. Increased knowledge of proper pin insertion techniques and advancements in pin design have greatly enhanced the longevity of the pin-bone interface, resulting in fewer complications. This article reviews some of the potential advantages of linear external skeletal fixators and principles of application to help strengthen the pin-bone interface and minimize complications.
与其他固定系统相比，线性外骨骼固定器具有一些独特的优势；它们在生物力学方面具有通用性，可将对骨折部位的手术创伤降至最低，并允许进行简单的分期拆卸以促进骨愈合。从历史上看，据报道使用线性外骨骼固定器会导致许多并发症，主要与针-骨界面有关。在过去二十年中，外骨骼固定器再度受到关注。对正确的穿针技术的了解增加以及针设计的进步极大地提高了针-骨界面的使用寿命，从而减少了并发症。本文回顾了线性外骨骼固定器的一些潜在优势和应用原则，以帮助加强针-骨界面并将并发症降至最低。
