Olerud S, Karlstrom G
Clin Orthop Relat Res. 1986 Nov(212):101-12.
Intramedullary nailing of the tibia has been used mainly in selected cases of fresh diaphyseal fractures and nonunions. However, with modern variations of the technique, the indications can be expanded considerably. Interlocking nailing has increased the number of fractures suitable for intramedullary fixation. With this technique or with other additional measures, intramedullary fixation can be used after correction osteotomies and for stabilization of metastases and pathologic fractures. When used on correct indications and in the absence of complications, intramedullary nailing is the method of choice for stabilization of the tibia. The advantages are short stay in hospital, short morbidity, early range of motion exercises, and weight-bearing without immobilization in plaster. A prerequisite, however, is that the surgeon be very familiar with the technique, and its indications and complications.
胫骨髓内钉固定术主要用于特定的新鲜骨干骨折和骨不连病例。然而，随着该技术的现代改进，其适应证可大幅扩展。交锁髓内钉增加了适合髓内固定的骨折数量。采用这种技术或其他附加措施，髓内固定可用于截骨矫正术后、转移瘤及病理性骨折的稳定。当适应证选择正确且无并发症时，髓内钉固定是胫骨稳定的首选方法。其优点包括住院时间短、发病率低、可早期进行关节活动练习以及无需石膏固定即可负重。然而，一个前提条件是外科医生必须非常熟悉该技术及其适应证和并发症。
