胫骨远端三分之一骨折的髓内钉固定：远端锁定螺钉与骨折不愈合
Intramedullary tibial nailing in distal third tibial fractures: distal locking screws and fracture non-union.
作者信息
Mohammed Aso, Saravanan Ramaswamy, Zammit Jason, King Richard
机构信息
Trauma and Orthopaedics, The Royal London Hospital, London, UK.
出版信息
Int Orthop. 2008 Aug;32(4):547-9. doi: 10.1007/s00264-007-0356-3. Epub 2007 Apr 5.
Abstract
Distal third tibial fractures are prone to non-union following tibial nail insertion. The purpose of this study was to assess the union of distal third tibial fractures in patients who have undergone intra-medullary (IM) tibial nailing with one versus two distal locking screws. Sixty-five patients who had intramedullary tibial nail fixation were retrospectively analysed. Our results showed that 80% of non-unions in distal third fractures had only one distal locking screw compared to 20% who had two distal locking screws. This is statistically significant (p<0.01). We therefore conclude that two distal locking screws are essential for distal third fractures.
摘要
胫骨远端三分之一骨折在插入胫骨髓内钉后容易发生骨不连。本研究的目的是评估接受单枚与双枚远端锁定螺钉的胫骨髓内钉固定的患者中胫骨远端三分之一骨折的愈合情况。对65例行胫骨髓内钉固定的患者进行回顾性分析。我们的结果显示，远端三分之一骨折的骨不连患者中，80%仅使用了一枚远端锁定螺钉，而使用两枚远端锁定螺钉的患者占20%。这具有统计学意义（p<0.01）。因此，我们得出结论，对于远端三分之一骨折，两枚远端锁定螺钉是必不可少的。
相似文献
1
Intramedullary tibial nailing in distal third tibial fractures: distal locking screws and fracture non-union.胫骨远端三分之一骨折的髓内钉固定：远端锁定螺钉与骨折不愈合
Int Orthop. 2008 Aug;32(4):547-9. doi: 10.1007/s00264-007-0356-3. Epub 2007 Apr 5.
2
Single or double distal locking in intramedullary nailing of tibial shaft fractures: a prospective randomized study.胫骨干骨折髓内钉固定中采用单远端或双远端锁定：一项前瞻性随机研究
Ulus Travma Acil Cerrahi Derg. 2010 Jan;16(1):33-7.
3
Randomized, prospective comparison of plate versus intramedullary nail fixation for distal tibia shaft fractures.随机、前瞻性比较钢板与髓内钉固定治疗胫骨骨干远端骨折。
J Orthop Trauma. 2011 Dec;25(12):736-41. doi: 10.1097/BOT.0b013e318213f709.
4
[Treatment of complex fractures of the ankle and their sequellae using trans-plantar intramedullary nailing].[经足底髓内钉治疗踝关节复杂骨折及其后遗症]
Acta Orthop Belg. 1997 Dec;63(4):294-304.
5
[A comparisive study between intramedullary interlocking nail and plate-screw fixation in the treatment of tibial shaft fractures].[交锁髓内钉与钢板螺钉内固定治疗胫骨干骨折的对比研究]
Zhongguo Gu Shang. 2008 Apr;21(4):261-3.
6
Evaluation of the effectiveness of the angular stable locking system in patients with distal tibial fractures treated with intramedullary nailing: a multicenter randomized controlled trial.髓内钉治疗胫骨干骺端骨折患者中角度稳定锁定系统的有效性评估：一项多中心随机对照试验
J Bone Joint Surg Am. 2014 Nov 19;96(22):1889-97. doi: 10.2106/JBJS.M.01355.
7
Use of locking compression plates for long bone nonunions without removing existing intramedullary nail: review of literature and our experience.在不取出现有髓内钉的情况下使用锁定加压钢板治疗长骨骨不连：文献综述及我们的经验
J Trauma. 2008 Aug;65(2):482-6. doi: 10.1097/TA.0b013e31817c9905.
8
Intramedullary nailing and angulation prevention in distal metaphyseal tibial fractures.胫骨干骺端远端骨折的髓内钉固定及成角预防
Orthopedics. 2012 Dec;35(12):e1765-8. doi: 10.3928/01477447-20121120-22.
9
Comment on Mohammed et al.: Intramedullary tibial nailing in distal third tibial fractures: distal locking screws and fracture non-union.对穆罕默德等人的评论：胫骨远端三分之一骨折的髓内钉固定：远端锁定螺钉与骨折不愈合
Int Orthop. 2009 Jun;33(3):881. doi: 10.1007/s00264-008-0646-4. Epub 2008 Aug 30.
10
[Treatment of adult tibial diaphysis fractures with reamed and locked intramedullary nailing].[扩髓带锁髓内钉治疗成人胫骨干骨折]
Acta Orthop Traumatol Turc. 2009 Jan-Feb;43(1):7-13. doi: 10.3944/AOTT.2009.007.
引用本文的文献
1
Improved Outcomes in Distal Tibial Non-Union: A Retrospective Study of 8 Patients Treated with Distal Tibial Nail and Screw Fixation.改良远端胫骨骨不连的治疗效果：8 例远端胫骨交锁髓内钉结合螺钉固定治疗的回顾性研究。
Med Sci Monit. 2023 Nov 6;29:e942207. doi: 10.12659/MSM.942207.
2
Fluoroscopy-free distal screw locking in intramedullary nailing: A retrospective study.非透视条件下交锁髓内钉远端锁钉置入：一项回顾性研究。
Medicine (Baltimore). 2023 Sep 22;102(38):e35276. doi: 10.1097/MD.0000000000035276.
3
The semi-extended infrapatellar intramedullary nailing of distal tibia fractures: a randomized clinical trial.胫骨远端骨折的半延长髌下髓内钉固定：一项随机临床试验。
J Orthop Traumatol. 2022 Nov 28;23(1):53. doi: 10.1186/s10195-022-00674-3.
4
Anterior knee pain and functional outcome following different surgical techniques for tibial nailing: a systematic review.胫骨钉固定术后不同手术技术的前膝疼痛和功能结果：系统评价。
Eur J Trauma Emerg Surg. 2021 Jun;47(3):763-772. doi: 10.1007/s00068-020-01458-2. Epub 2020 Aug 9.
5
Biomechanical comparison of six intramedullary nails, for the treatment of ex-tra-articular, proximal tibial fractures.六种用于治疗胫骨近端关节外骨折的髓内钉的生物力学比较。
Hippokratia. 2019 Apr-Jun;23(2):58-63.
6
Influence of fracture obliquity and interlocking nail screw configuration on interfragmentary motion in distal metaphyseal tibia fractures.骨折倾斜度及交锁髓内钉螺钉构型对胫骨干骺端远端骨折块间运动的影响
Eur J Orthop Surg Traumatol. 2020 Feb;30(2):343-350. doi: 10.1007/s00590-019-02553-w. Epub 2019 Sep 30.
7
The Role of Biplanar Distal Locking in Intramedullary Nailing of Tibial Shaft Fractures.双平面远端锁定在胫骨干骨折髓内钉固定中的作用
Arch Bone Jt Surg. 2019 Jan;7(1):33-37.
8
Distal Tibial Fractures: Intramedullary Nailing.胫骨干远端骨折：髓内钉固定
Eur J Trauma Emerg Surg. 2009 Dec;35(6):520-6. doi: 10.1007/s00068-009-9185-y. Epub 2009 Nov 16.
9
Management of fractures of the distal third tibia by minimally invasive plate osteosynthesis - A prospective series of 50 patients.微创钢板接骨术治疗胫骨远端三分之一骨折——50例患者的前瞻性系列研究
J Clin Orthop Trauma. 2014 Sep;5(3):129-36. doi: 10.1016/j.jcot.2014.07.010. Epub 2014 Aug 31.
10
Unreamed intramedullary nailing in distal tibial fractures.非扩髓髓内钉治疗胫骨远端骨折。
Int Orthop. 2013 Oct;37(10):2009-15. doi: 10.1007/s00264-013-1998-y. Epub 2013 Jul 28.
本文引用的文献
1
Intramedullary nailing of distal metaphyseal tibial fractures.胫骨干骺端远端骨折的髓内钉固定
J Bone Joint Surg Am. 2005 Jun;87(6):1213-21. doi: 10.2106/JBJS.C.01135.
2
Distal tibial fractures and non-unions treated with shortened intramedullary nail.采用缩短型髓内钉治疗胫骨干远端骨折及骨不连。
Int Orthop. 2003;27(6):348-51. doi: 10.1007/s00264-003-0499-9. Epub 2003 Aug 15.
3
Anterior knee pain after intramedullary nailing of fractures of the tibial shaft. A prospective, randomized study comparing two different nail-insertion techniques.胫骨干骨折髓内钉固定术后的膝前疼痛。一项比较两种不同进钉技术的前瞻性随机研究。
J Bone Joint Surg Am. 2002 Apr;84(4):580-5. doi: 10.2106/00004623-200204000-00011.
4
Tibial intramedullary nail distal interlocking screw placement: comparison of the free-hand versus distally-based targeting device techniques.胫骨髓内钉远端交锁螺钉置入：徒手技术与基于远端的瞄准装置技术的比较
Injury. 2001 Dec;32 Suppl 4:SD21-5. doi: 10.1016/s0020-1383(01)00115-2.
5
Dia-metaphyseal distal tibial fractures--treatment with a shortened intramedullary nail: a review of 15 cases.胫骨干骺端远端骨折——采用短缩髓内钉治疗：15例病例回顾
Injury. 2000 Dec;31(10):799-804. doi: 10.1016/s0020-1383(00)00129-7.
6
Implant failure in tibial nailing.胫骨钉固定术的植入失败
Injury. 2000 Jun;31(5):359-62. doi: 10.1016/s0020-1383(00)00002-4.
7
Knee pain after intramedullary tibial nailing: its incidence, etiology, and outcome.胫骨髓内钉固定术后的膝关节疼痛：发生率、病因及结局
J Orthop Trauma. 1997 Feb-Mar;11(2):103-5. doi: 10.1097/00005131-199702000-00006.
8
A comparison of one versus two distal locking screws in tibial fractures treated with unreamed tibial nails: a prospective randomized clinical trial.非扩髓胫骨髓内钉治疗胫骨骨折时单枚与双枚远端锁定螺钉的比较：一项前瞻性随机临床试验
Injury. 1996 May;27(4):271-3. doi: 10.1016/0020-1383(95)00116-6.
9
Prospective study of union rate of open tibial fractures treated with locked, unreamed intramedullary nails.锁定非扩髓髓内钉治疗开放性胫骨骨折愈合率的前瞻性研究
J Orthop Trauma. 1994;8(1):45-9. doi: 10.1097/00005131-199402000-00010.
10
The epidemiology of tibial fractures.胫骨骨折的流行病学
J Bone Joint Surg Br. 1995 May;77(3):417-21.
Zotero 插件