Rehman Saqib, Sokunbi Gbolabo
Department of Orthopaedic Surgery, Temple University Hospital, 6th Floor, Outpatient Building, 3401 North Broad Street, Philadelphia, PA 19140, USA.
Hand Clin. 2010 Aug;26(3):391-401, vii. doi: 10.1016/j.hcl.2010.04.002. Epub 2010 Jun 11.
Plate fixation remains the primary surgical treatment option for most adult forearm fractures. However, intramedullary nailing can be successful and might be preferable in cases of massive soft-tissue injury and burns, certain segmental fractures, pathologic fractures, and skeletally immature adolescent patients. Furthermore, the risk for refracture after plate removal is decreased with fixation by intramedullary nailing. The history, indications, surgical technique, and results of intramedullary fixation of forearm fractures are described in this article.
钢板固定仍然是大多数成人前臂骨折的主要手术治疗选择。然而，髓内钉固定也可能成功，对于大面积软组织损伤和烧伤、某些节段性骨折、病理性骨折以及骨骼未成熟的青少年患者，髓内钉固定可能更可取。此外，与钢板固定相比，髓内钉固定后取出钢板后的再骨折风险更低。本文介绍了前臂骨折髓内固定的历史、适应证、手术技术及结果。
