Baumgart R, Kettler M, Zeiler C, Weiss S, Schweiberer L
Chirurgische Klinik und Poliklinik, Klinikum Innenstadt, Ludwig-Maximilians-Universität München.
Chirurg. 1998 Nov;69(11):1188-96. doi: 10.1007/s001040050556.
For cutting bones different tools and techniques are available. The question which method is most advantageous depends on the basic surgical concept, the location of the bone cut and the choice of the subsequent implant. The biological activity of the anatomical site of the cut determines how much the tissue needs to be protected, taking into consideration the vascularity of the bone and avoiding heat transfer. The surgical approach depends on the implant and should be used also for the bone cut. Specific indications are given for the oscillating saw, the Gigli saw, the osteotome, drill holes and the medullary saw.
对于切割骨头，有不同的工具和技术可供选择。哪种方法最具优势取决于基本的手术理念、骨切口的位置以及后续植入物的选择。切口解剖部位的生物活性决定了需要对组织进行多大程度的保护，同时要考虑到骨头的血管分布并避免热量传递。手术入路取决于植入物，并且也应用于骨切割。文中给出了摆动锯、吉利锯、骨凿、钻孔和髓内锯的具体适应证。
