Richter D, Ostermann P A, Ekkernkamp A, Hahn M P, Muhr G
Chirurgische Universitätsklinik und Poliklinik, Berufsgenossenschaftliche Kliniken Bergmannsheil, Bochum.
Langenbecks Arch Chir Suppl Kongressbd. 1997;114:1259-61.
In a prospective study, 50 fractures of the distal fifth of the tibia with additional involvement of the ankle joint in 18 patients were stabilized by unreamed nailing. In all, 90% of all fractures healed uneventfully without further surgical intervention after unreamed nailing, the highest ratio of complications (22%) being seen in all patients with distal fractures of the fibula without additional plating (of the fibula). Tibial fractures close to the ankle joint can be managed by unreamed nailing; distal fractures of the fibula should be additionally stabilized by fibular plating.
在一项前瞻性研究中，18例患者的50处胫骨远端五分之一骨折合并踝关节损伤，采用非扩髓髓内钉固定。总体而言，90%的骨折在非扩髓髓内钉固定后顺利愈合，无需进一步手术干预，并发症发生率最高（22%）见于所有腓骨远端骨折且未额外进行（腓骨）钢板固定的患者。靠近踝关节的胫骨骨折可采用非扩髓髓内钉治疗；腓骨远端骨折应额外采用腓骨钢板固定。
