Neubauer T, Hehli M, Steiner R, Wagner M
Abteilung für Unfallchirurgie und Sporttraumatologie, Wilhelminenspital der Stadt Wien, Wien, Austria.
Unfallchirurg. 2003 Aug;106(8):649-52. doi: 10.1007/s00113-003-0641-6.
We report a newly developed device for fracture reduction and the positioning of K-wires, especially the guide wires of cannulated screws. It is designed as a cannulated ball spike pusher whose tip and inlay consists of a K-wire fixed in the lumina of the device by a screw. Thus, in displaced fractures, the (guide) wire can be inserted into the bone from the point of reduction, simplifying the intra-operative technique especially in minimally invasive procedures. Additionally, severely displaced fracture fragments can be handled quite comfortably percutaneously by using this device with a "joy stick" technique. The first practical experience in cannulated screw and K-wire osteosyntheses using this device are reported here.
我们报告了一种新开发的用于骨折复位和克氏针(尤其是空心螺钉导针)定位的装置。它被设计成一种空心球头钉推送器,其尖端和镶嵌物由一根通过螺钉固定在装置管腔内的克氏针组成。因此,在移位骨折中,(导)针可从复位点插入骨内,这简化了手术操作技术,尤其是在微创手术中。此外,通过使用这种装置采用“操纵杆”技术,严重移位的骨折碎片可经皮轻松处理。本文报告了使用该装置进行空心螺钉和克氏针内固定的首批实际经验。