Mullen J O, Tranovich M
Clin Orthop Relat Res. 1986 Jul(208):195-8.
The Zickel nail can be inserted without difficulty as follows. The fracture table is set for the supine position and double-leg traction. Adduction of the fractured leg and traction on the opposite abducted leg clear the femur from the iliac wing. With use of the image intensifier for blind insertion of an intramedullary rod, the Zickel nail can be inserted without fracture site exposure. This technique reduces operative time from several hours to 48 minutes +/- 25 minutes and blood loss from several units to 325 cc +/- 150 cc.
齐克尔髓内钉可按如下方式顺利插入。骨折手术台设置为仰卧位并进行双腿牵引。内收骨折侧下肢，对侧外展下肢进行牵引，使股骨从髂骨翼处游离。利用影像增强器在盲视下插入髓内棒，无需暴露骨折部位即可插入齐克尔髓内钉。该技术将手术时间从数小时缩短至48分钟±25分钟，失血量从数单位减少至325毫升±150毫升。
