Manderson E L, Nwaneri U R, Amin K B
Division of Orthopaedic Surgery, District of Columbia General Hospital, Washington.
Foot Ankle Int. 1994 Aug;15(8):444-5. doi: 10.1177/107110079401500808.
Adequate distraction can be obtained in ankle arthroscopy by placing a Steinmann pin transversely in the calcaneus and using the fracture table in a hip or tibial nailing mode. A sterile traction bow is attached to the calcaneal pin and then to the traction crank apparatus of the fracture table. Gross traction is first applied through the leg in the usual manner and then fine traction tension may be increased or decreased intraoperatively through the traction crank. This method of using the fracture table is easy to perform and is familiar to the orthopaedist, as it is used in intramedullary nailing procedures. The primary advantage is that it allows for excellent exposure while avoiding the morbidity associated with a distraction pin through the distal tibia.
在踝关节镜检查中，通过将斯氏针横向插入跟骨，并将骨折手术台设置为髋关节或胫骨髓内钉固定模式，可获得足够的牵引。将无菌牵引弓连接到跟骨针上，然后再连接到骨折手术台的牵引曲柄装置上。首先以常规方式通过腿部施加总牵引，然后在术中可通过牵引曲柄增加或减少精细牵引张力。这种使用骨折手术台的方法操作简便，骨科医生也很熟悉，因为它在髓内钉固定手术中会用到。其主要优点是能实现极佳的视野暴露，同时避免了经胫骨远端使用牵引针带来的并发症。
