阻挡钉技术结合闭合复位交锁髓内钉在胫骨干骺端骨折中的应用
摘要
闭合复位交锁髓内钉内固定具有微创,不暴露骨折端以利于保护骨折端周围血供促进骨折快速愈合等优点,目前已经成为治疗下肢长管状骨干骨折的首选。对于胫骨骨干简单骨折,骨折复位和髓内钉内固定后,大多数可获得良好的对位对线,但对于胫骨干骺端骨折,有时则会出现骨折断端侧方移位与成角畸形,以及骨折断端固定不稳定,最终影响治疗效果。
出处
《中国中医骨伤科杂志》
CAS
2013年第9期50-51,共2页
Chinese Journal of Traditional Medical Traumatology & Orthopedics
参考文献9
-
1CHRISTIAN M, THOMAS M D, STEFAN D, et al. The use of poller screws for metaphyseal tibia and femur fractures treated with small2 diameter in2 tramedullary nails [J]. Orthopaedics, 2004, 18 (4): 316-323.
-
2KRETTEK C,MICLAU T, SCHANDELMAIER P, et al . The mechanical effect of blocking screws( "Poller screws" ) instabiliz- ing tibia fractures with short proximal or distal fragments after in- sertion of small diameter intramedullary nails[J]. J Orthop Trau- ma, 1999, 13(8):550-553.
-
3KRETTEK C, STEPHAN C, SCHANDELMAIER P, et al. The use of Poller screws as blocking screws in stabilising tibial frac- tures treated with small diameter intramedullary nails [J]. J Bone Joint SurgBr,1999, 81 (6) : 963-968.
-
4HANS-WERNER S, MITTLMEIER T. The logic and clinical ap- plications of blocking screws[J]. J Bone Joint Surg Am, 2004,86- A Suppl 2:17 -25.
-
5王秋根,高堪达,高伟,王建东,陶杰,李豪青,李凡,吴晓明,吴小峰,朱宗昊.下肢髓内钉术后非感染性骨不连的对策:内植骨结合阻挡钉技术[J].中国矫形外科杂志,2008,16(14):1045-1047. 被引量:45
-
6祝海炳,武理国,方智松,王庆丰,马一平,傅国海,胡成挺.交锁髓内钉配合阻挡钉技术治疗胫骨远端骨折[J].中医正骨,2012,24(1):46-47. 被引量:17
-
7祝海炳,武理国,方智松,罗从风,王庆丰,马一平,高洪,傅国海,胡成挺.阻挡钉结合生根技术在带锁髓内钉治疗胫骨远端骨折中的应用[J].中国骨伤,2012,28(7):569-571. 被引量:15
-
8王建东,朱力波,王秋根,陆海明,李豪青,高伟,李凡,陶杰,吴小峰.阻挡钉技术在胫骨干骺端骨折髓内钉治疗中的应用[J].中华骨科杂志,2009,29(2):168-169. 被引量:19
-
9SHAHULHAMEED A, ROBERTS C S, OJIKE N I . Technique for precise placement of poller screws with intramedullary nailing of metaphyseal fractures of the femur and the tibia[J]. Injury, 2011,42(2) :136 -139.
二级参考文献27
-
1廖浩,方煌,陈安民,罗永湘.60例四肢长管骨骨不连的原因分析[J].中国矫形外科杂志,2005,13(16):1207-1209. 被引量:48
-
2任栋,彭阿钦,王鹏程,焦振清.改良Poller钉在带锁髓内钉治疗股骨胫骨远段骨折中的应用[J].解剖与临床,2006,11(2):103-105. 被引量:4
-
3张文玺,郑志良,吉跃平,王文.髓钉生根技术在交锁髓内钉内固定的应用及预防断钉的分析[J].中国骨与关节损伤杂志,2007,22(3):228-229. 被引量:8
-
4Safran O, Liebergall M, Segal D, et al. Proximal tibial fractures: should we nail them? Am J Orthop, 2001, 30: 681-684.
-
5Johnson KD. Management of malunion and nonunion of the tibia. Orthop Clin North Am, 1987, 18: 157-171.
-
6Krettek C, Miclau T, Schandelmaier P, et al. The mechanical effect of blocking screws ("Poller screws") in stabilizing tibia fractures with short proximal or distal fragments after insertion of small-diameter intramedullary nails. J Orthop Trauma, 1999, 13: 550-553.
-
7Krettek C, Stephan C, Schandelmaier P, et al. The use of Poller screws as blocking screws in stabilising tibial fractures treated with small diameter intramedullary nails. J Bone Joint Surg (Br), 1999, 81: 963-968.
-
8Lang GJ, Cohen BE, Bosse M J, et al. Proximal third tibial shaft fractures: should they be nailed? Clin Orthop Relat Res, 1995(315): 64- 74.
-
9Freedman EL, Johnson EE. Radiographic analysis of tibial fracture malalignment following intramedullary nailing. Clin Orthop Relat Res, 1995(315): 25-33.
-
10Tornetta P 3rd, Collins E. Semiextended position of intramedullary nailing of the proximal tibia. Clin Orthop Relat Res, 1996 (328): 185-189.
共引文献83
-
1林健,王秋根,黄建华,陶杰,李凡,李豪青,高伟,吴晓明,吴小峰,王建东.对《锁定加压钢板单骨皮质固定治疗长骨骨折髓内钉术后骨不连》一文的不同看法[J].中华创伤骨科杂志,2009,11(3):276-278. 被引量:5
-
2王彦军,苏立新.交锁髓内钉治疗股骨远端干骺端骨折中阻挡钉的应用[J].山东医药,2009,49(14):59-60. 被引量:3
-
3李栋,尹芸生.下肢长骨干骨折锁式髓内钉固定术后骨折不愈合的治疗现状[J].中国药物与临床,2009,9(B11):12-14. 被引量:1
-
4倪向阳,刘璠.交锁髓内钉治疗胫骨远端骨折进展[J].南通大学学报(医学版),2010,30(2):139-141. 被引量:10
-
5郝建学,张建鹏,李兵,刘燕梅,任康,刘锁利,万建设,任永敏,陈美青,李雪波.股骨干骨折髓内置钉治疗骨折不愈合20例:附加钢板结合植骨的有效性[J].中国组织工程研究与临床康复,2010,14(13):2441-2444. 被引量:11
-
6樊书新.交锁髓内针治疗股骨干骨折内固定失败骨不连疗效观察[J].临床合理用药杂志,2010,3(18):116-117. 被引量:3
-
7郝建学,刘俊卿,张建鹏,刘锁利,李雪波,万建设.应用原位骨痂骨膜瓣治疗股骨干骨折髓内钉术后骨折不愈合[J].河北医科大学学报,2010,31(10):1187-1189. 被引量:2
-
8周大鹏,韩文锋,赵勇,田竞,王琪,项良碧.阻挡螺钉技术在闭合复位髓内钉内固定治疗股骨干骨折中的应用[J].中国矫形外科杂志,2010,18(20):1731-1733. 被引量:9
-
9郝建学,张建鹏,李兵,刘燕梅,刘锁利,万建设,李雪波,任永敏,陈美青.股骨干骨折交锁髓内钉术后骨折不愈合治疗探讨[J].河北医药,2010,32(21):3000-3001. 被引量:2
-
10黄建华,林健,吴小峰,高堪达,王秋根,李豪青,高伟,李凡.超远端胫骨髓内钉治疗胫骨远端干骺端骨折的疗效分析[J].中华创伤骨科杂志,2011,13(1):38-42. 被引量:10
-
1王宏伟,王殿柱,王军辉.胫骨干骨折不愈合的治疗[J].空军医高专学报,1999,21(1):44-45.
-
2王鹏福.开放性胫骨骨折86例治疗体会[J].现代医药卫生,2001,17(6):444-444.
-
3赵辉.微创经皮钢板和带锁髓内钉治疗胫骨骨折的比较分析[J].微创医学,2006,1(3X):160-162. 被引量:4
-
4交通事故所致胫骨骨干断裂的治疗[J].旅行医学科学,1998,4(3):28-29.
-
5纪宪朝,赵森,刘颖,张仁杰.长管状骨干骨折内固定术后骨不愈合64例分析[J].中国误诊学杂志,2004,4(1):119-119. 被引量:1
-
6李东生,李兴华,王天旭.带锁髓内钉远近端加钉治疗下肢骨折的疗效观察[J].中医正骨,2007,19(8):44-44.
-
7李振年,刘斌成,徐继新,于福鑫.带锁髓内针与旋入式自锁髓内针治疗长管状骨干骨折的比较[J].中国现代药物应用,2010,4(6):33-34. 被引量:6
-
8Extremity and extremital raplantation[J].China Medical Abstracts,2008,17(1):22-24.
-
9阳建.交锁髓内钉治疗胫骨骨干骨折骨不连[J].中国医学工程,2006,14(6):635-637. 被引量:2
-
10牛春江,徐庆安,于志国.小切口克氏针张力带钢丝治疗长骨干骨折[J].骨与关节损伤杂志,2003,18(11):729-729.