Schaffer Nathaniel E, Wilson Jenna L, Yee Michael A, Hake Mark E
Department of Orthopaedic Surgery, University of Michigan, Ann Arbor, MI.
J Orthop Trauma. 2020 Aug;34 Suppl 2:S37-S38. doi: 10.1097/BOT.0000000000001837.
Extraarticular fractures of the distal tibia have historically been treated with open reduction and fixation with plates and screws. This technique requires a more extensive dissection and comes with a higher risk of wound complications than intramedullary nail fixation. This article and the accompanying video demonstrate the use of closed reduction and suprapatellar nail fixation appropriate for the treatment of most extraarticular distal tibial fractures. A variety of treatment decisions are discussed, including the nail insertion method, fixation of associated fibular fractures, and postoperative immobilization.
从历史上看，胫骨干骺端关节外骨折一直采用切开复位钢板螺钉内固定治疗。与髓内钉固定相比，该技术需要更广泛的解剖，伤口并发症风险更高。本文及随附视频展示了适用于治疗大多数胫骨干骺端关节外骨折的闭合复位和髌上髓内钉固定方法。文中讨论了多种治疗决策，包括髓内钉插入方法、相关腓骨骨折的固定以及术后固定。
