Babst R, Renner N, Rosso R, Marx A, Heberer M, Regazzoni P
Departement Chirurgie, Kantonsspital Basel.
Helv Chir Acta. 1994 Jul;60(5):833-8.
The pinless external fixator, introduced into clinical practice for open tibial fractures, suggested itself for use as a traction substitute because of its pinless frame. The aim of this feasibility study was to replace the conventional calcaneal pin traction by a joint-bridging pinless fixator, inserted under local anesthesia. 10 patients with 6 malleolar dislocation fractures, 3 pilon tibial and 1 open distal tibial fracture were immobilised by a joint-bridging pinless fixator during 10.4 days (5-16 days) till swelling had subsided and definitive fracture treatment, consisting of plate fixation, took place. The implantation of the joint-bridging pinless fixator in local anaesthesia was well tolerated by all patients. This traction substitute offered good patient comfort and easy care. Although the provided stability was less than a conventional fixator, all patients were able to lift up their fractured extremity without pain.
无针外固定器最初用于开放性胫骨骨折的临床治疗，因其无针框架而被认为可作为牵引替代物。本可行性研究的目的是在局部麻醉下，用关节桥接无针固定器取代传统的跟骨针牵引。10例患者，其中6例为踝关节脱位骨折、3例为胫骨pilon骨折和1例开放性胫骨远端骨折，采用关节桥接无针固定器固定10.4天（5 - 16天），直至肿胀消退，然后进行包括钢板固定在内的确定性骨折治疗。所有患者对在局部麻醉下植入关节桥接无针固定器耐受性良好。这种牵引替代物为患者提供了良好的舒适度且易于护理。虽然其提供的稳定性低于传统固定器，但所有患者都能够无痛地抬起骨折肢体。
