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一种简单易行的髓内冲洗方法,用于预防扩髓长骨钉固定期间及术后的栓塞

A Simple and Easy Intramedullary Lavage Method to Prevent Embolism During and After Reamed Long Bone Nailing.

作者信息

Baig M N, Curtin W

机构信息

Orthopaedics, Galway University Hospital.

出版信息

Cureus. 2017 Aug 25;9(8):e1609. doi: 10.7759/cureus.1609.

DOI:10.7759/cureus.1609
PMID:29075587
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC5656224/
Abstract

Reaming of the long bones is widely practiced because it allows for improved healing and early mobilization in patients needing surgical debridement of bone tissue. The insertion of reamed intramedullary nails can cause complications such as bone necrosis, cortical blood supply damage, and fat or bone marrow embolism. We describe a novel way to limit the amount of material in the canal before nail insertion to limit the chances of embolism.

摘要

长骨扩髓术被广泛应用,因为它能使需要进行骨组织手术清创的患者愈合情况更好且能早期活动。插入扩髓髓内钉可能会引发诸如骨坏死、皮质血供损伤以及脂肪或骨髓栓塞等并发症。我们描述了一种在插入髓内钉之前限制髓腔内物质数量的新方法,以降低栓塞的几率。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d031/5656224/1519f6067195/cureus-0009-00000001609-i03.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d031/5656224/5da5b3f4f8fd/cureus-0009-00000001609-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d031/5656224/4540a1024e1b/cureus-0009-00000001609-i02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d031/5656224/1519f6067195/cureus-0009-00000001609-i03.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d031/5656224/5da5b3f4f8fd/cureus-0009-00000001609-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d031/5656224/4540a1024e1b/cureus-0009-00000001609-i02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d031/5656224/1519f6067195/cureus-0009-00000001609-i03.jpg

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J Orthop Surg (Hong Kong). 2010 Aug;18(2):189-94. doi: 10.1177/230949901001800211.
2
Intramedullary nailing of femoral and tibial shaft fractures.股骨干和胫骨干骨折的髓内钉固定术。
J Orthop Sci. 2006 Nov;11(6):657-69. doi: 10.1007/s00776-006-1061-6. Epub 2006 Dec 4.
3
Prevention of fat embolism syndrome.脂肪栓塞综合征的预防。
原发性甲状旁腺功能亢进患者的髋部骨折:医学与外科经验教训
Cureus. 2018 Jan 23;10(1):e2104. doi: 10.7759/cureus.2104.
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A Prospective Study of Distal Metatarsal Chevron Osteotomies with K-Wire Fixations to Treat Hallux Valgus Deformities.一项关于采用克氏针固定的远端跖骨V形截骨术治疗拇外翻畸形的前瞻性研究。
Cureus. 2017 Sep 20;9(9):e1704. doi: 10.7759/cureus.1704.
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Fat embolism: the reaming controversy.脂肪栓塞:扩髓的争议
Injury. 2006 Oct;37 Suppl 4:S50-8. doi: 10.1016/j.injury.2006.08.040.