关键词: Distal femur Distal tibia Extreme nailing MIPO Percutaneous Periarticular Proximal tibia Suprapatellar

Mesh : Femur / injuries surgery Fracture Fixation, Intramedullary / instrumentation methods Humans Internal Fixators Tibial Fractures / surgery

来  源:   DOI:10.1016/j.ocl.2021.01.002   PDF(Sci-hub)

Abstract:
Periarticular fractures of the lower extremity can be difficult injuries to stabilize effectively. Modern advances in technique and implant design now allow many of these fractures to be fixed with an extreme intramedullary nail. When nailing is not possible, less invasive plating through percutaneous incisions is a reliable option. The decision to perform extreme nailing is multifactorial and is based on the fracture pattern, the condition of the soft tissues, the medical condition of the patient, and the importance of earlier or immediate weightbearing.
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