Vécsei V, Heinz T
I. Chirurgische Abteilung mit Unfallabteilung, Wilhelminenspital Wien.
Unfallchirurg. 1990 Nov;93(11):512-8.
Interlocking nailing is presented as an optimal method for the treatment of fractures of femur and tibia, which are complicated because of the length of these bones. Cases from the literature and cases treated by the authors gave a total of 208 fractures of the femur and 158 fractures of the tibia (comminuted fractures and fractures "à deux étages"). There is a low complication rate as a closed procedure was applied whenever possible. In the femur the nail fractured in eight cases (3.9%), while in seven cases infection was observed (3.5%) and in three cases pseudarthrosis. Following interlocking nailing of the tibia we found deviation of the axis by greater than 5 degrees in eight cases (5%) of 158, including 44 open fractures. Fracture of the nail occurred in one case (0.6%), and we observed six cases of infection (3.8%) and one of pseudarthrosis (0.6%).
交锁髓内钉被认为是治疗股骨和胫骨骨折的一种理想方法，由于这些骨骼较长，其骨折情况较为复杂。文献中的病例以及作者治疗的病例，股骨骨折共有208例，胫骨骨折有158例（粉碎性骨折和“两层骨折”）。由于尽可能采用闭合手术，并发症发生率较低。在股骨骨折中，有8例（3.9%）髓内钉断裂，7例（3.5%）出现感染，3例出现骨不连。在158例胫骨骨折行交锁髓内钉固定后，包括44例开放性骨折，我们发现有8例（5%）轴线偏差超过5度。髓内钉断裂1例（0.6%），观察到6例感染（3.8%）和1例骨不连（0.6%）。
