Fibak J
Zespołu Nauczania Klinicznego AM Poznań, Szpitalu im. Fr. Raszei.
Chir Narzadow Ruchu Ortop Pol. 1994;59(4):303-7.
Technical elements and details of surgical technique promoting stability of the fixation is analyzed by the author. Technical improvements of intramedullary fixation secured great stability of this type of fixation. The use of flexible reamers to drill medullar cavity permitted application of thicker nails and enlarged the area of exact fit between the nail and the cortical bone. Introduction of the interlocking system preventing rotational displacements allowed for the use of this method in fractures within the whole length of the shaft. Weight bearing from the first postoperative day is permitted for majority of the patients. Almost none of them needed external immobilization.
作者分析了促进固定稳定性的手术技术的技术要素和细节。髓内固定的技术改进确保了此类固定的高度稳定性。使用柔性扩孔钻来钻髓腔允许应用更粗的髓内钉，并扩大了髓内钉与皮质骨精确匹配的面积。引入防止旋转移位的交锁系统使得该方法可用于整个骨干长度的骨折。大多数患者术后第一天即可负重。几乎没有人需要外部固定。
