Agarwala Anshul, Kwan Stephanie, Matullo Kristofer
St. Luke's University Hospital, Department of Orthopedic Surgery, 801 Ostrum Street, Bethlehem, PA 18015, United States of America.
Trauma Case Rep. 2019 Jul 26;23:100237. doi: 10.1016/j.tcr.2019.100237. eCollection 2019 Oct.
Given the frequency of tibial shaft fractures that undergo intramedullary fixation, the aim of this case report is to demonstrate an easily reproducible technique for fracture reduction maintenance intra-operatively using a non-invasive technique. Our technique utilizes an Esmarch bandage applied in specific fashion particularly as a means of maintaining fracture reduction during reaming and insertion of the intramedullary device. When compared to other well-described techniques of tibial shaft fracture reduction and preservation, this method is of minimal insult to soft tissues and without need for additional incisions or implantation of additional devices. Furthermore, this technique is of little cost or increased equipment utilization in the operative environment.
鉴于接受髓内固定的胫骨干骨折的发生率，本病例报告的目的是展示一种易于重复的技术，通过非侵入性技术在术中维持骨折复位。我们的技术采用以特定方式应用的艾氏绷带，特别是作为在扩髓和插入髓内装置过程中维持骨折复位的一种手段。与其他已详细描述的胫骨干骨折复位和固定技术相比，该方法对软组织的损伤最小，无需额外切口或植入额外装置。此外，该技术在手术环境中的成本很低，也不会增加设备使用量。
