Reith H B, Böddeker W, Pelzer C, Kozuschek W
Department of Surgery, Ruhr-University Bochum, Bochum-Langendreer, Germany.
Int Surg. 1988 Jul-Sep;73(3):170-2.
Besides generally known therapeutic practice, indications can be discovered and more easily evaluated by using a "Ring Fixator". Applications include the following: (1) stage fractures of the tibia, (2) stabilisation of fractures of polytraumatized patients with no need for prior anatomical reduction and (3) closed lower limb fractures with severe soft tissue lesions. The major advantages of the "Ring Fixator" include the following: possible unlimited correction of primary and secondary dislocations without needing to transpose implanted Steinmann-pins or Schanz' screw; compatibility with ASIF external fixation systems for supplementary use of "Ring Fixator" elements; possible management of secondary dislocations and variable placement of pins or screws for subsequent wound debridement and muscle flap transposition. Results so far obtained using the "Ring Fixation" are illustrated by clinical examples.
除了广为人知的治疗方法外，使用“环形固定器”可以发现适应症并更易于评估。其应用包括以下方面：（1）胫骨骨折分期；（2）无需预先进行解剖复位的多发伤患者骨折的固定；（3）伴有严重软组织损伤的下肢闭合性骨折。“环形固定器”的主要优点包括：无需移动植入的斯氏针或斯氏螺钉即可对原发性和继发性脱位进行可能的无限矫正；与ASIF外固定系统兼容，以便补充使用“环形固定器”元件；可以处理继发性脱位，并且可以为后续的伤口清创和肌皮瓣转移灵活放置钢针或螺钉。目前使用“环形固定”获得的结果通过临床实例进行说明。
