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用钻头扭钢丝:一种新的手术技术。

Twisting Steel Wires with a Drill: A New Surgical Technique.

机构信息

Department of Orthopaedics, The First Affiliated Hospital of Zhejiang Chinese Medical University, Hangzhou, China.

The First Clinical College, Zhejiang Chinese Medical University, Hangzhou, China.

出版信息

Orthop Surg. 2019 Apr;11(2):330-332. doi: 10.1111/os.12457. Epub 2019 Apr 10.

Abstract

Stainless steel wires are often used to fix specific types of fractures in orthopaedic surgery using pliers. This article aims to introduce a new technique to twist steel wires by using an electric drill. The steps before twisting the wire are the same as usual. Our technique is as follows. First, tighten the two ends of wire by using pliers, then insert both the ends of wires into the drill and hold in place. Second, set the drill to reverse mode. Third, start turning the drill, then the two wires begin to intertwine and tighten. It is important to stop turning before the wire (the twisted part) begins to bend. Finally, cut the twisted part of wire in place, and bend the wire stump. This technique can achieve a better appearance while saving the strength of surgeons. It has the same clinical effect as the traditional method. This technique provides a new method for surgery and wide clinical application.

摘要

不锈钢丝常用于骨科手术中用钳子固定特定类型的骨折。本文旨在介绍一种使用电钻扭钢丝的新技术。扭丝前的步骤与常规操作相同。我们的技术如下。首先,用钳子拧紧钢丝的两端,然后将钢丝的两端插入钻夹头并固定。其次,将电钻调至反转模式。第三,开始转动电钻,然后两根钢丝开始相互缠绕并拧紧。在钢丝(扭结部分)开始弯曲之前,务必停止转动。最后,在原位剪断扭结部分的钢丝,并弯曲钢丝残端。该技术在节省外科医生体力的同时,可使外观更好。其临床效果与传统方法相同。该技术为手术提供了一种新方法,具有广泛的临床应用前景。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f957/6594510/fcb415d78772/OS-11-330-g001.jpg

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