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[使用新型植入物对生长期骨折进行髓内钉固定]

[Intramedullary nailing of fractures during the growth period with a new implant].

作者信息

Keller H W, Huber R, Rehm K E

机构信息

Klinik für Unfall-, Hand- und Wiederherstellungs-Chirurgie, Universität zu Köln.

出版信息

Chirurg. 1993 Mar;64(3):180-4.

PMID:8482125
Abstract

Intramedullary nailing with flexible titan pins is a simple and safe method for the treatment of fractures in children. Avoiding the epiphysis two pins are introduced into the medullary space in a double-crossing way to stabilise diaphysial fractures of bigger bones such as femur, tibia or humerus. Forearm fractures are splinted with a single pin each to radius and ulna. The method is also practicable in proximal fractures of the radius, reduction and stabilisation can be achieved with an intramedullary pin in one step avoiding arthrotomy.

摘要

使用弹性钛钉髓内钉固定是治疗儿童骨折的一种简单且安全的方法。避开骨骺,以双交叉方式将两根钉子插入髓腔,以稳定股骨、胫骨或肱骨等较大骨骼的骨干骨折。前臂骨折则分别用一根钉子固定桡骨和尺骨。该方法在桡骨近端骨折中也可行,通过一根髓内钉可一步实现复位和固定,避免切开手术。

相似文献

1
[Intramedullary nailing of fractures during the growth period with a new implant].[使用新型植入物对生长期骨折进行髓内钉固定]
Chirurg. 1993 Mar;64(3):180-4.
2
Flexible intramedullary nailing as fracture treatment in children.
J Pediatr Orthop. 1996 Sep-Oct;16(5):602-5. doi: 10.1097/00004694-199609000-00011.
3
[Unstable pediatric femoral and forearm shaft fractures. Comparison between conservative treatment and stable intramedullary nailing].[小儿股骨干和前臂骨干不稳定骨折。保守治疗与稳定型髓内钉固定的比较]
Zentralbl Chir. 2000;125(9):756-62. doi: 10.1055/s-2000-10659.
4
[Stable elastic intramedullary nailing in the treatment of fractures of long bones in children].[弹性稳定髓内钉治疗儿童长骨骨折]
Rev Med Suisse Romande. 1987 Jan;107(1):47-52.
5
[Elastic intramedullary nailing--a concept for treatment of unstable forearm fractures in childhood].[弹性髓内钉——儿童不稳定型前臂骨折的一种治疗理念]
Chirurg. 1996 Apr;67(4):409-12.
6
[Prévot nailing, an elegant method. Experiences with 38 personal cases].[普雷沃钉固定术,一种精妙的方法。38例个人病例经验]
Unfallchirurg. 1996 May;99(5):327-31.
7
[Change in the procedure from external fixator to intramedullary nailing osteosynthesis of the femur and tibia].[股骨和胫骨从外固定器到髓内钉接骨术的手术方式改变]
Aktuelle Traumatol. 1993 Jul;23 Suppl 1:21-35.
8
[Intramedullary fixation of pediatric bone shaft fractures].
Kongressbd Dtsch Ges Chir Kongr. 2002;119:526-31.
9
Elastic stable intramedullary nailing for pediatric long bone fractures: experience with 175 fractures.弹性髓内钉治疗儿童长骨骨折:175 例骨折经验。
Scand J Surg. 2011;100(3):208-15. doi: 10.1177/145749691110000313.
10
Bundle nailing in nonunion of the distal radius: case report.束状钉治疗桡骨远端骨不连:病例报告
Handchir Mikrochir Plast Chir. 1992 Sep;24(5):273-5.

引用本文的文献

1
[Growth behaviour after fractures of the proximal radius: differences to the rest of the skeleton].
Unfallchirurg. 2014 Dec;117(12):1085-91. doi: 10.1007/s00113-014-2632-1.
2
[Severely displaced radial neck fractures after minimally invasive joystick reduction and Prévot nailing: long-term course in childhood].
Unfallchirurg. 2007 May;110(5):460-6. doi: 10.1007/s00113-006-1181-7.
3
[Pitfalls and complications of elastic stable intramedullary nailing (ESIN) of femoral fractures in infancy].[婴幼儿股骨干骨折弹性髓内钉固定术(ESIN)的陷阱与并发症]
Unfallchirurg. 2004 Sep;107(9):744-9. doi: 10.1007/s00113-004-0799-6.