Chawla S
Classified Specialist (Surgery), Military Hospital, Bhopal - 462 031.
Med J Armed Forces India. 2001 Jul;57(3):234-6. doi: 10.1016/S0377-1237(01)80051-4. Epub 2011 Jul 21.
Pinless fixator is an outstanding system designed for external fixation without invading the medullary canal in polytrauma patients. The pinless external fixation allows immediate stabilization and reduction of compound tibial fractures with or without skin loss. This is an ideal tool for emergency stabilization of tibial fractures in a peripheral setup because the application technique is easy to learn by general surgeons. This device can be applied quickly even under local anaesthesia, average application time being 20 minutes in our setup. It does not transfix the bone and therefore avoids the contamination of the medullary canal and thus does not preclude the use of any further treatment methods eg. repeated wound debridement, soft tissue coverage and internal fixation of the fracture. Transportation to referral centre can be done after application of the external fixator if considered necessary in patients with multiple injuries.
无针外固定器是一种出色的系统，专为多发伤患者的外固定设计，无需侵入髓腔。无针外固定可立即稳定并复位伴有或不伴有皮肤缺损的胫骨干骨折。这是在外围环境中紧急稳定胫骨干骨折的理想工具，因为普通外科医生很容易掌握其应用技术。即使在局部麻醉下，该装置也能快速应用，在我们的操作中平均应用时间为20分钟。它不会穿透骨质，因此可避免髓腔污染，从而不影响后续任何治疗方法的使用，例如反复伤口清创、软组织覆盖和骨折内固定。对于多发伤患者，如果认为有必要，可在应用外固定器后转送至转诊中心。
