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髓内钉与钢板联合固定治疗复杂胫骨远端骨折:时机与方法?

Intramedullary Nail and Plate Combination Fixation for Complex Distal Tibia Fractures: When and How?

作者信息

Yoon Richard S, Liporace Frank A

机构信息

*Division of Orthopaedic Trauma and Complex Adult Reconstruction, Department of Orthopaedic Surgery, Orlando Regional Medical Center, Orlando, FL; and †Division of Orthopaedic Trauma, Department of Orthopaedic Surgery, NYU Hospital for Joint Diseases, New York, NY.

出版信息

J Orthop Trauma. 2016 Nov;30 Suppl 4:S17-S21. doi: 10.1097/BOT.0000000000000698.

Abstract

Intramedullary nail and plate combination techniques have been described mostly for use in the proximal tibia. However, the nail and plate combination technique can also be used in the distal tibia, to counteract the deforming forces that cause construct failure and nonunion. In this article, we review pertinent anatomy and biomechanics and offer case examples that highlight the indications and applications of the nail and plate combination technique for distal tibia fractures.

摘要

髓内钉与钢板联合技术大多已被描述用于胫骨近端。然而,髓内钉与钢板联合技术也可用于胫骨远端,以对抗导致内固定失败和骨不连的变形力。在本文中,我们回顾了相关的解剖学和生物力学,并提供了病例示例,突出了髓内钉与钢板联合技术在胫骨远端骨折中的适应证及应用。

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