Talerico Michael, Ahn Jaimo
*Department of Orthopaedic Surgery, Penn Presbyterian Medical Center, University of Pennsylvania, Philadelphia, PA; and †Orthopaedic Trauma and Fracture Service, Department of Orthopaedic Surgery, Penn Presbyterian Medical Center, University of Pennsylvania, Philadelphia, PA.
J Orthop Trauma. 2016 Nov;30 Suppl 4:S7-S11. doi: 10.1097/BOT.0000000000000693.
The objective of this article is to highlight the salient points of preoperative planning, intraoperative considerations for fracture reduction methods, and implant fixation when treating distal diaphyseal or diametaphyseal tibia fractures with an intramedullary nail. Through review of the necessary preoperative considerations, techniques available to hold and maintain a reduction, and lastly how to maximize the selected implant of intramedullary nail, we hope to assist the treating surgeon in simplifying these sometimes complex fractures into manageable injuries that can be treated successfully with an intramedullary implant.
本文的目的是强调使用髓内钉治疗胫骨干骺端或骨干远端骨折时术前规划的要点、骨折复位方法的术中注意事项以及植入物固定。通过回顾必要的术前注意事项、用于维持复位的可用技术，以及最后如何使所选的髓内钉植入物发挥最大作用，我们希望帮助治疗外科医生将这些有时复杂的骨折简化为可通过髓内植入物成功治疗的可控损伤。
