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从矫形外科角度看髓内钉固定术的适应证、技术及并发症(作者译)

[Indications, technic and complications of intramedullary nailing in orthopedic view (author's transl)].

作者信息

Mittelmeier H, Nizard M, Temme C

出版信息

Z Orthop Ihre Grenzgeb. 1977 Oct;115(5):790-4.

PMID:930254
Abstract

After short statement of the present indication and short illustrations of the technics of intramedullary nailing, 41 cases of failure (with the necessity of reoperation) are investigated with demonstrating the observed complications and their causes. Especially were seen malunions, shortening of legs, pseudarthrosis and osteomyelitis and some secondary anchylosis after fractures of metaphysis or comminuted fractures. These results were caused by use of nails with too small diameter and deficient reaming with following insufficient solidity.

摘要

在简短陈述当前适应症并简要说明髓内钉技术后,对41例失败病例(需要再次手术)进行了研究,展示了观察到的并发症及其原因。尤其可见畸形愈合、腿部缩短、假关节和骨髓炎,以及干骺端骨折或粉碎性骨折后的一些继发性关节强直。这些结果是由于使用直径过小的钉子以及扩髓不足导致固定不牢固所致。

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