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采用弯形热处理COP三叶形髓内钉治疗股骨干骨折。

Treatment of the femoral shaft fracture with a curved heat-treated COP clover-leaf nail.

作者信息

Onoue Y, Sunami Y, Fujiwara H, Sadakane T, Yasuda S

出版信息

Int Orthop. 1979;3(3):203-10. doi: 10.1007/BF00265713.

DOI:10.1007/BF00265713
PMID:528087
Abstract

The commonly used straight intramedullary nail has certain limitations and disadvantages. Following radiographic and metallurgical studies we have developed a curved heat-treated clover-leaf nail using a newly developed precipitation hardening stainless steel (COP). The nail is bent with a slot on the convex side and the radius of curvature is 115 cm which corresponds to the anatomical antero-lateral convexity of the human femur. The nail has been satisfactory in clinical use since 1971 and has provided not only more stable internal fixation but also allowed fixation of fractures beyond the middle third of the shaft.

摘要

常用的直形髓内钉有一定的局限性和缺点。经过影像学和金相学研究,我们采用新开发的沉淀硬化不锈钢(COP)研制出一种弯曲的热处理三叶草形髓内钉。该髓内钉在凸侧有一狭槽,其弯曲半径为115厘米,与人体股骨的解剖学前外侧凸度相对应。自1971年以来,该髓内钉在临床应用中效果令人满意,不仅提供了更稳定的内固定,还能固定骨干中下段以上的骨折。

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Biomed Res Int. 2015;2015:459612. doi: 10.1155/2015/459612. Epub 2015 Jun 7.
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Slotted versus non-slotted locked intramedullary nailing for femoral shaft fractures.用于股骨干骨折的开槽与非开槽锁定髓内钉固定术

本文引用的文献

1
Complications of intramedullary fixation of fractures of the femur.股骨骨折髓内固定的并发症
AMA Arch Surg. 1951 Nov;63(5):675-86. doi: 10.1001/archsurg.1951.01250040689016.
2
Medullary nailing of fractures after fifty years; with a review of the difficulties and complications of the operation.五十年来骨折的髓内钉固定术;兼述手术的困难与并发症
J Bone Joint Surg Br. 1950 Nov;32-B(4):694-729. doi: 10.1302/0301-620X.32B4.694.
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Fracture healing after fixation with standard plates contact splints, and medullary nails.
Arch Orthop Trauma Surg. 1992;111(2):91-5. doi: 10.1007/BF00443474.
J Bone Joint Surg Am. 1954 Jun;36-A(3):577-87.
4
COP, a new alloy for surgical implants.
Acta Med Okayama. 1977 Feb;31(1):71-80.