技术文章:胫骨近端半钉短段置入。

IF 1 Q3 ORTHOPEDICS
James W Fletcher, Stephen R Mitchell
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引用次数: 0

摘要

目的和目的:六足框架环的胫骨近端固定是具有挑战性的,因为需要在提供足够的环稳定性的可用空间和近端放置皮质切开术以帮助再生形成的愿望之间取得平衡。本研究的目的是描述和分析我们的技术短段,三个半针放置。材料和方法:我们描述了一种定位和放置半针的新方法,可以在胫骨仅18毫米的范围内重复放置三个6毫米的针。在12个月的时间里,我们从我们机构的数据库中确定了接受这种半针配置的患者,并分析了并发症的定义,包括种植体周围骨折、临床检测到的针位松动、化脓性关节炎或近端针位引起的翻修手术。结果:我们确定了26例接受这种近端半针配置的患者,平均年龄45岁(范围24-80岁),根据我们的定义没有并发症报告。结论:这种近端半针的配置在尽可能少的骨内提供了良好的固定,为高位皮质切开术提供了足够的胫骨近端空间。证据等级:III -回顾性病例系列。技术文章:胫骨近端半钉短段置入。创伤肢体重建[j]; 2009;19(3):161-163。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Technical Article: Short-segment Placement of Proximal Tibial Half-pins.

Aim and objective: Proximal tibial fixation of hexapod frame rings can be challenging due to a balance between concerns about the available space to provide adequate ring stability against the desire for proximal placement of corticotomies to aid regenerate formation. The aim of this study was to describe and analyse our technique for short-segment, three half-pin placement.

Materials and methods: We describe a novel method of orientation and placement of half-pins to enable repeatable placement of three 6 mm pins within only 18 mm of tibia. Patients who received this configuration of half-pins over a 12-month period were identified from our institution database and analysed for complications defined as peri-implant fractures, clinically detected pin site loosening, septic arthritis, or revision surgery due to proximal pin sites.

Results: We identified 26 patients who received this configuration of proximal half-pins, average age of 45 (range 24-80) with no complications reported as per our definition.

Conclusion: This configuration of proximal half-pins provides excellent fixation in the minimum amount of bone possible, providing sufficient proximal tibial space for high corticotomies.Level of evidence: III - Retrospective case series.

How to cite this article: Fletcher JW, Mitchell SR. Technical Article: Short-segment Placement of Proximal Tibial Half-pins. Strategies Trauma Limb Reconstr 2024;19(3):161-163.

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来源期刊
Strategies in Trauma and Limb Reconstruction
Strategies in Trauma and Limb Reconstruction Medicine-Orthopedics and Sports Medicine
CiteScore
1.50
自引率
0.00%
发文量
31
期刊介绍: Strategies in Trauma and Limb Reconstruction is dedicated to surgeons, allied medical professionals and researchers in the field of orthopaedics and trauma. The scope of the journal is to discuss the fields of skeletal injury, and the complications thereof, congenital and acquired limb deformities and deficiencies, and orthopaedic-related infection, together with their surgical and non-surgical treatments. The journal publishes original articles, reviews, case reports, descriptions of new or recognised treatment techniques, forum discussions of clinical scenarios and relevant correspondence. It aims to provide a widely accessible source of useful information to practitioners in the field through the problem- or technique-based approach of published articles.
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