Louis R, Jouve J L, Borrione F
Surg Radiol Anat. 1987;9(1):5-11. doi: 10.1007/BF02116848.
Ilizarov's method of external fixation with compression or distraction for lesions of the limbs demonstrates new possibilities in osteogenesis. Its performance with double horizontal pinning on several external rings calls for precautions to avoid lesions of the vessels, nerves and joints. This study, based on anatomic sections radiographed after opacification of the arterial system, makes it possible to propose rules for insertion of the pins. Insertion of the anteromedial pins of the thigh should be made 2 cm in front of the line of projection of the femoral artery, between the middle of the inguinal ligament and the posterior margin of the medial condyle. Insertion of the posterolateral thigh pins should be made 2 cm lateral to the line of projection of the sciatic nerve, between the center of the ischiotrochanteric interval, the apex of the popliteal fossa and the posterior aspect of the head of the fibula.
伊里扎洛夫用于四肢损伤的加压或牵引外固定方法在骨生成方面展现了新的可能性。在多个外环上进行双水平穿针操作时，需要注意预防血管、神经和关节损伤。本研究基于动脉系统造影后的解剖切片X线片，从而能够提出穿针的规则。大腿前内侧穿针应在股动脉投影线前方2厘米处，位于腹股沟韧带中点与内侧髁后缘之间。大腿后外侧穿针应在坐骨神经投影线外侧2厘米处，位于坐骨转子间间隙中心、腘窝顶点与腓骨头后方之间。
