髓内钉治疗胫骨干骺端骨折

髓内钉治疗胫骨干骺端骨折存在显著的骨折复位不良、再次移位、畸形愈合、骨折延迟愈合以及不愈合等并发症。为了减少并发症,一些髓内钉固定技术和复位技术已经得到了发展。包括使用恰当的进钉点以及进钉的角度、阻挡钉、单皮质钢板固定,以及多种可选择的复位固定时的体位及入路。这些技术的使用使并发症的发生率明显降低。

Intramedullary Nailing for Metaphyseal Tibia Fractures Treatment

Tibial fractures are the most common long bone fractures.The benefits of intramedullary nailing of these fractures include load sharing,sparing of the extraosseous blood supply,and avoidance of additional soft-tissue dissection.But the significant rates of primary and secondary malalignment,malunion,delayed healing and non-healing complications with intramedullary nailing of tibial metaphyseal fractures have been reported.Several nailing methods and reduction techniques have been developed to minimize this complications,including the use of a proper starting point and insertion angle,blocking screws,unicortical plates,and alternative positioning and approaches.These technologies have significantly reduced the incidence of complications.