Bonatus T, Olson S A, Lee S, Chapman M W
Flagstaff Bone and Joint Center, AZ, USA.
Clin Orthop Relat Res. 1997 Jun(339):58-64. doi: 10.1097/00003086-199706000-00008.
The use of nonreamed interlocking tibial nails in the management of open fractures of the tibial shaft has gained wide acceptance. This technique has been reported to have reproducible good results with a low incidence of complications in Type I, Type II, and Type IIIA open tibial shaft fractures. The use of nonreamed nails in Type IIIB fractures continues to be a source of controversy. The treatment of 72 open fractures of the tibial shaft with nonreamed interlocking intramedullary nailing is detailed. There were 27 Type I, 22 Type II, 11 Type IIIA, and 12 Type IIIB open tibial shaft fractures. There were three (4.2%) deep infections; one Type II, one Type IIIA, and one Type IIIB. Forty-nine fractures (68%) united by 6 months, all fractures had united by 12 months. The use of nonreamed locking intramedullary nailing in Types I, II, IIIA, and IIIB open fractures of the tibial shaft is supported.
非扩髓带锁胫骨髓内钉在胫骨干开放性骨折治疗中的应用已获得广泛认可。据报道，该技术在Ⅰ型、Ⅱ型和ⅢA型胫骨干开放性骨折中具有可重复的良好效果，并发症发生率低。在ⅢB型骨折中使用非扩髓钉仍然存在争议。本文详细介绍了采用非扩髓带锁髓内钉治疗72例胫骨干开放性骨折的情况。其中有27例Ⅰ型、22例Ⅱ型、11例ⅢA型和12例ⅢB型胫骨干开放性骨折。发生了3例（4.2%）深部感染；1例Ⅱ型、1例ⅢA型和1例ⅢB型。49例骨折（68%）在6个月时愈合，所有骨折在12个月时均已愈合。支持在Ⅰ型、Ⅱ型、ⅢA型和ⅢB型胫骨干开放性骨折中使用非扩髓带锁髓内钉。
