髓内棒
医学
还原(数学)
胫骨远端
骨折复位
胫骨
外科
钉子(扣件)
胫骨骨折
射线照相术
几何学
数学
材料科学
冶金
作者
Erik N. Kubiak,Benjamin J. Widmer,Dan S Horwitz
标识
DOI:10.1097/bot.0b013e3181d5d9f4
摘要
Intramedullary nailing is a widely accepted technique for the stabilization of unstable diaphyseal tibia fractures. When this method of stabilization is applied to proximal and distal metadiaphyseal fractures, achieving and maintaining fracture reduction is more difficult. The intramedullary nailing of proximal metadiaphyseal fractures in semiextension has been advocated to make stabilization less difficult. The intra-articular nature of this technique makes it less appealing. We present a nailing technique that facilitates extra-articular semiextended tibial nailing. The technique simplifies intraoperative imaging, fracture reduction, and maintenance of reduction during nail insertion and locking.
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