Melichar J, Horálek F, Novotný F, Sín A, Sahely S, Smajer B
Chirurgická klinika LF MU a FN, Brno-Bohunice.
Rozhl Chir. 2004 Aug;83(8):396-8.
In this study the authors present a method of conversion of external fixations to closed intramedullary ones in the treatment of complicated diaphyseal fractures of the calf and femur. According to the conditions, the fixation is secured by a pin. The above mentioned procedure is advantageous especially in cases of patients with open fractures, in patients with polytraumas as well as in patients with a threatening or with a present compartment syndrome. Treatment of the above fractures is not always simple and represents a serious problem in everyday traumatological practice. Treatment of fractures using the above procedure has very good results with a minimum of complications. Although, nowadays, the skeletal defect can be solved and therefore the bearing capacity of the extremity be renewed, damages to the muscles are often irreparable and cause a permanent invalidity.
在本研究中，作者介绍了一种将外固定转换为闭合髓内固定的方法，用于治疗小腿和股骨复杂的骨干骨折。根据具体情况，通过一枚钢针进行固定。上述方法尤其适用于开放性骨折患者、多发伤患者以及存在或有发生骨筋膜室综合征风险的患者。上述骨折的治疗并非总是简单易行，在日常创伤外科实践中是一个严重问题。采用上述方法治疗骨折效果良好，并发症最少。尽管如今骨骼缺损可以解决，肢体的承重能力得以恢复，但肌肉损伤往往无法修复，会导致永久性残疾。
