Lister G
J Hand Surg Am. 1978 Sep;3(5):427-35. doi: 10.1016/s0363-5023(78)80135-x.
One hundred cases of osteosynthesis done by the use of intraosseous wiring are presented. Two techniques of wiring are described, one used in transverse fractures and arthrodeses in which an additional Kirschner wire is employed, the other in which No. 0 monofilament wire can be placed perpendicular to the line of osteosynthesis. Forty-seven fractures were treated and there was union in all cases; 53 arthrodeses were performed, with failure in five, due, it is believed, to a failure to observe the essential elements of the technique, namely the need to obtain congruous bone ends and to maintain all internal fixation until there is clinical evidence of union. Overall, 83.2% of the maximum attainable total active range of motion was achieved in the 100 cases.
本文介绍了100例采用骨内钢丝固定术进行骨合成的病例。描述了两种钢丝固定技术，一种用于横骨折和关节融合术，其中使用了额外的克氏针；另一种是使用0号单丝钢丝垂直于骨合成线放置。治疗了47例骨折，所有病例均愈合；进行了53例关节融合术，其中5例失败，据信是由于未遵守该技术的基本要素，即需要获得贴合的骨端并维持所有内固定直至有临床愈合证据。总体而言，100例患者实现了最大可达到的总活动范围的83.2%。
