[Indications for and results of interlocking nailing in lower leg fractures].

Zeitschrift fur Unfallchirurgie, Versicherungsmedizin und Berufskrankheiten : offizielles Organ der Schweizerischen Gesellschaft fur Unfallmedizin und Berufskrankheiten = Revue de traumatologie, d'assicurologie et des maladies professio... Pub Date : 1989-01-01

K Klingler, K Käch, H Eberle

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Abstract

At the clinic for Traumatology at the University Hospital of Zürich between 1981-1986 53 tibial fractures in 52 patients have been treated with interlocking nails. The system of Grosse and Kempf was utilized. The fractures were produced by a variety of mechanisms of injury, of which 70% were caused by traffic accidents. Associated injuries to other organ systems were sustained by 44% of the patients, overall there were 13% considered to have multiple trauma. 21% of the fractures were open. 21% required stable fixation, 17% were dynamized. The remaining 79% fractures were treated with dynamic nailings. A bridging callus was observed after an average of 6 weeks, and cortical bridging at 18 weeks following nailing. Complications included local infection around the proximal transversal screws in 2 and osteomyelitis in 1 case.

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【交锁钉治疗小腿骨折的适应症和结果】。

1981-1986年期间，在z里奇大学医院的创伤学诊所，52例53例胫骨骨折患者接受了联锁钉治疗。采用Grosse - Kempf系统。骨折是由多种损伤机制引起的，其中70%是由交通事故引起的。其他器官系统的相关损伤在44%的患者中持续存在，总体上有13%的患者被认为有多重创伤。21%的骨折是开放性的。21%需要稳定固定，17%需要动力固定。其余79%的骨折采用动力钉治疗。平均6周后观察到桥接骨痂，钉入后18周观察到皮质桥接。并发症包括近端横螺钉周围局部感染2例，骨髓炎1例。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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Zeitschrift fur Unfallchirurgie, Versicherungsmedizin und Berufskrankheiten : offizielles Organ der Schweizerischen Gesellschaft fur Unfallmedizin und Berufskrankheiten = Revue de traumatologie, d'assicurologie et des maladies professio...

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