Tejwani Nirmal C
Department of Orthopaedics, The New York University Hospital for Joint Diseases, New York, NY, USA.
J Orthop Trauma. 2009 May-Jun;23(5 Suppl):S18-21. doi: 10.1097/BOT.0b013e31819f2779.
Fracture compression can be achieved in many ways intraoperatively using either screws in compression plates, compression devices, or using intramedullary nails. The use of locked intramedullary nails combines the advantages of indirect fracture fixation and compression with minimal soft tissue disruption. This article describes the technique, advantages, and limitations of the use of intramedullary nails for compression across fractures, nonunions, and joint arthrodeses.
术中可通过多种方式实现骨折加压,如使用加压钢板中的螺钉、加压装置,或使用髓内钉。锁定髓内钉的使用结合了间接骨折固定和加压的优点,同时对软组织的破坏最小。本文介绍了使用髓内钉对骨折、骨不连和关节融合进行加压的技术、优点和局限性。