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Internal fixation of radial head fractures with an intramedullary nail

机译:髓内钉内固定of骨头骨折

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摘要

Comminuted fractures of the radial head still present significant technical and surgical challenges. In this article, we describe a novel fixation of comminuted radial head fractures with the help of an intramedullary nail. Experiments with solid, conventionally machined intramedullary nails showed some major drawbacks in the fixation of radial head fractures. Several design and manufacturing procedures were proposed. The general idea behind the new design was the concept of a nail which would eliminate the need for prefabricated bores. Experiments with a selective laser sintered thin-walled nail, designed with the help of CT images, fulfilled expectations. This thin-walled proximal radius nail thus offers a stable fixation of the radial head fracture fragments, with the ability to preserve the existing vascular supply to the radial head fragments, and therefore not just use the reconstructed radial head as a bioprosthesis.
机译:head骨头粉碎性骨折仍然存在重大的技术和手术挑战。在本文中,我们描述了借助髓内钉治疗粉碎性radial骨头粉碎性骨折的新型方法。用坚固的,传统机加工的髓内钉进行的实验显示出radial骨头骨折固定中的一些主要缺点。提出了几种设计和制造程序。新设计背后的总体思想是钉子的概念,这将消除对预制孔的需求。利用CT图像设计的选择性激光烧结薄壁钉子的实验达到了预期。因此,这种薄壁的近端nail骨钉可以稳定地固定the骨头骨折片段,并能够保留向to骨头碎片的现有血管供应,因此不仅可以将重建的radial骨头用作生物假体。

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