Vichard P, Garbuio P, Gagneux E, Elias B E
Service de Chirurgie Orthopédique, Traumatologique, Plastique, Hôpital Jean Minjoz, Besançon.
Rev Chir Orthop Reparatrice Appar Mot. 1997;83(8):739-42.
The goal of this study was to propose a new approach of the upper tibia for intramedullary nailing. Since two years, the authors performed a transversal skin incision superior to the distal end of the patella. The patellar tendon is dissociated and the tibia is perforated through the anterior intercondylar area. The advantages of this approach versus classical techniques are discussed. This approach allows isolated tibial or femoral nailing but also both nailings during the same procedure.
本研究的目的是提出一种用于胫骨骨髓内钉固定的胫骨上段新入路。两年来，作者在髌骨远端上方做横向皮肤切口。游离髌腱，并通过髁间前区穿入胫骨。讨论了该入路相对于传统技术的优势。这种入路既可以单独进行胫骨或股骨的髓内钉固定，也可以在同一次手术中进行两者的髓内钉固定。
