Mayer L, Werbie T, Schwab J P, Johnson R P
J Bone Joint Surg Am. 1985 Mar;67(3):446-55.
Between November 1979 and January 1983, we treated fifty-one severe fractures of the tibial shaft with multiple intramedullary Ender nails. Thirty-six fractures were treated within two weeks after injury. Forty-one fractures united in less than four months and eight, in four to eight months. Only two were not united after eight months. An anatomical reduction was maintained in all but three of the fractures, in which the tibia shortened. Two tibiae united with an angulation of 7 degrees and one with 6 degrees, as measured in two planes. There were two infections, both after an open fracture. It has been our experience that Ender nails provide excellent rotational stability, allow early full weight-bearing, and markedly decrease the duration of need for immobilization. Ender nailing was of value both for the acute management of complicated high-energy fractures of the tibial shaft with extensive soft-tissue damage and as a salvage procedure to maintain reduction of a fracture when other techniques had failed.
1979年11月至1983年1月期间，我们用多根髓内恩德尔钉治疗了51例胫骨干严重骨折。36例骨折在受伤后两周内接受了治疗。41例骨折在不到四个月内愈合，8例在四至八个月内愈合。八个月后只有两例未愈合。除三例骨折外，其余所有骨折均维持了解剖复位，这三例胫骨发生了短缩。经两个平面测量，两根胫骨愈合时有7度的成角，一根有6度的成角。有两例感染，均发生在开放性骨折后。我们的经验是，恩德尔钉提供了出色的旋转稳定性，允许早期完全负重，并显著缩短了固定所需的时间。恩德尔钉固定对于伴有广泛软组织损伤的复杂高能胫骨干骨折的急性处理以及当其他技术失败时作为维持骨折复位的挽救手术均有价值。
