Merriman Jarrad A, Villacis Diego, Kephart Curtis J, Rick Hatch George F
Department of Orthopedic Surgery, USC Keck School of Medicine, Los Angeles, California 90033, USA.
Orthopedics. 2013 Jul;36(7):534-8. doi: 10.3928/01477447-20130624-08.
The authors present a rare technique of tension band plating of the anterior tibia in the setting of a nonunion stress fracture. Surgical management with an intramedullary nail is a viable and proven option for treating such injuries. However, in treating elite athletes, legitimate concerns exist regarding the surgical disruption of the extensor mechanism and the risk of anterior knee pain associated with intramedullary nail use. The described surgical technique demonstrates the use of tension band plating as an effective treatment of delayed union and nonunion anterior tibial stress fractures in athletes without the potential risks of intramedullary nail insertion.
作者介绍了一种在胫骨应力性骨折不愈合情况下对胫骨前部进行张力带钢板固定的罕见技术。采用髓内钉进行手术治疗是治疗此类损伤的一种可行且经过验证的选择。然而，在治疗精英运动员时，对于伸肌机制的手术破坏以及与使用髓内钉相关的前膝疼痛风险存在合理担忧。所描述的手术技术证明了张力带钢板固定作为治疗运动员胫骨前部延迟愈合和不愈合应力性骨折的有效方法，且不存在髓内钉插入的潜在风险。
