Habernek H
LKH Bad Ischl hospital, Austria.
Clin Orthop Relat Res. 1991 Jun(267):164-8.
A new method for treatment of torsional tibial fractures allows full weight bearing two days post-operatively. Percutaneous cerclage wiring (Gotzes method) is done after a manual anatomic reduction on a normal fracture table, followed by static interlocking nailing. Compared to other methods, no extensive exposure is necessary, which helps preserve the periosteal blood supply. These considerations, as well as an early axial pressure load and an almost absolute stability, might explain the roentgenographic and clinical evidence that bone healing with minimal callus formation occurs six to eight weeks postoperatively.
一种治疗胫骨扭转骨折的新方法允许术后两天完全负重。在普通骨折手术台上进行手法解剖复位后，采用经皮环扎钢丝术（戈茨法），随后进行静力交锁髓内钉固定。与其他方法相比，无需广泛暴露，这有助于保留骨膜血供。这些因素，以及早期轴向压力负荷和几乎绝对的稳定性，可能解释了影像学和临床证据，即术后六至八周出现骨愈合且骨痂形成极少。
