Minimally invasive percutaneous pedicle screw fixation for thoracolumbar fractures.docVIP

 PAGE \* MERGEFORMAT 11 Minimally invasive percutaneous pedicle screw fixation for thoracolumbar fractures Of: Chen at Yong, Zhang Yan, Wang Ji Wei, Wei Yao-Sen, Liu Bin, Xu Jianjun [Keywords:] medullary locking femoral nail sight Femoral intramedullary nailing of femoral shaft fractures in a compressive stress and the rotation should be strong, early activities, stress shielding, wide application, etc., has been widely used in clinical, achieved good clinical results [1, 2]. But the operative sight often deformed due to displacement, resulting bar is not an accurate pressure in the intramedullary nail or distal interlocking nail failure of surgery. In this study, our hospital in October 2001 to 2007 in August with femoral intramedullary nailing for femoral shaft fractures in a total of 146 cases of surgery, patients in the sight of the deformation and the countermeasures. 1 Materials and Methods 1.1 Clinical data in our department in October 2001 to August 2007 using femoral intramedullary nailing for femoral shaft fractures in 146 patients, 105 patients were male, female 41 cases, aged 18 to 79 years old, average 35.4 years of age. Application Orthofix interlocking nail in 22 cases, modified Orthofix interlocking nail 124 cases, both with three-dimensional sight of the intramedullary nail. 1.2 Methods 5 patients associated with other injuries due to use of general anesthesia, and the remaining patients were treated with epidural anesthesia. Early 45 patients with supine position, after 101 patients with contralateral decubitus .8 cases treated with closed reduction and 138 cases were small incision open reduction. fractures, take a large longitudinal incision on the rotor, the pyriform sinus is into the nail points, followed by reamed, reamed intramedullary nail to the large than 1 mm, with the expansion of the proximal femur reamed device proximal. will be selected in the intramedullary nail into the medullary cavity, under the guidance o