Rüedi T
Department of Surgery, Kantonsspital Chur, Switzerland.
Arch Orthop Trauma Surg. 1990;109(6):317-20. doi: 10.1007/BF00636169.
The locked or unlocked intramedullary nail is considered today in most institutions the first choice for stabilisation of the majority of closed diaphyseal fractures of the femur and tibia. In 1st and 2nd degree open fractures of the tibia, the unreamed locked nail may perhaps become the preferred implant. In spite of very favourable results with nailing, not all fracture problems of long bone will be solved with this device. The plate and external fixator will remain indicated in most fractures with meta- and epiphyseal extension as well as in situations in which the intraoperative fluoroscopy is not available. Our experience with the new AO universal femur and tibia nails are being reported.
如今，在大多数机构中，锁定或非锁定髓内钉被视为治疗大多数股骨干和胫骨干闭合性骨折的首选固定方法。对于胫骨Ⅰ度和Ⅱ度开放性骨折，非扩髓锁定髓内钉可能会成为首选植入物。尽管髓内钉固定取得了非常好的效果，但并非所有长骨骨折问题都能通过这种装置解决。对于大多数伴有干骺端和骨骺延伸的骨折以及无法进行术中透视的情况，钢板和外固定器仍是适用的。本文报告了我们使用新型AO通用股骨和胫骨髓内钉的经验。
