McLaren A C, Blokker C P
Division of Orthopaedic Surgery, University of Western Ontario, London, Canada.
Clin Orthop Relat Res. 1991 Apr(265):253-60.
Locked intramedullary rod fixation, established for metaphyseal fractures, is applicable to reconstructive procedures. Fourteen cases of complex nonunion or malunion (five infected) were reviewed retrospectively. Thirteen of the 14 fractures united. Eleven of 14 required an open procedure for removal of metal, soft-tissue release, bone grafting, osteotomy, or resection of infected bone. Infections were controlled by resection, depot antibiotics, and early stabilization. Interlocking intramedullary rods are an excellent fixation technique for posttraumatic metaphyseal reconstructive procedures.
用于干骺端骨折的锁定髓内棒固定适用于重建手术。回顾性分析了14例复杂骨不连或畸形愈合病例（5例感染）。14例骨折中有13例愈合。14例中有11例需要进行开放手术以取出金属物、松解软组织、植骨、截骨或切除感染骨。通过切除、长效抗生素和早期稳定来控制感染。交锁髓内棒是创伤后干骺端重建手术的一种出色固定技术。
