Techniques for Intramedullary Nailing of Proximal Tibia Fractures

被引:30
|
作者
Stinner, Daniel J. [1 ]
Mir, Hassan [1 ]
机构
[1] Vanderbilt Univ Sch Med, Vanderbilt Orthopaed Inst, Div Orthopaed Trauma, Med Ctr East, Nashville, TN 37232 USA
关键词
Proximal tibia fracture; Extra-articular; Suprapatellar nailing; Retropatellar nailing; Semiextended nailing; Blocking screws; SHAFT FRACTURES; BLOCKING SCREWS; POLLER SCREWS; INSERTION; SUPRAPATELLAR; REDUCTION; PLACEMENT; FIXATION; ZONE;
D O I
10.1016/j.ocl.2013.09.001
中图分类号
R826.8 [整形外科学]; R782.2 [口腔颌面部整形外科学]; R726.2 [小儿整形外科学]; R62 [整形外科学(修复外科学)];
学科分类号
摘要
Despite poor early results with intramedullary nailing of extra-articular proximal tibia fractures, improvements in surgical technique and implant design modifications have resulted in more acceptable outcomes. However, prevention of the commonly encountered apex anterior and/or valgus deformities remains a challenge when treating these injuries. It is necessary for the surgeon to recognize this and know how to neutralize these forces. Surgeons should be comfortable using a variety of the reduction techniques presented to minimize fracture malalignment.
引用
收藏
页码:33 / +
页数:15
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