Feasibility of Long Bone Fractures With Intramedullary Nail Fixation Under Ultrasound Monitoring
ZHANG Zhi-tonga, SHEN Su-fangb, HU Chang-qinga, WANG Shun-yia, MA Zhan-beia, LI Huia
a.The First Department of Orthopedics, b. Department of Ultrasound, Baoding First Central Hospital, Baoding Hebei 071000, China长骨骨折在C-臂X光机监控下，实行闭合复位髓内针内固定术具有微创、不破坏骨折端血运，属中心性固定，稳定性可靠，能够维持骨折力线，动静结合，有利于骨折愈合等诸多好处，所以在骨科临床被广泛应用。但其在手术操作过程中，术者及伤者双方均需长时间暴露于放射线下，术者身负沉重的铅衣保护，使手术操作极为不便
Abstract：Objective To evaluate the clinical results of closed reduction of long bone fractures intramedullary nailing under intraoperative ultrasound monitoring. Methods Closed reduction and intramedullary nail fixation in 19 cases of of femoral shaft fracturesand 15 cases of humeral shaft fractures were conducted under ultrasound monitoring of GE VIVID S6 andVIVID E9. Fracture displacement and nerves and blood vessels damages were detected with ultrasound. The guidewire was introduced into distal fracture, and intramedullary nail was sent into the medullary cavity after fracture reduction, then screw fixation was conducted. According to the results of intraoperative ultrasound examination to determine whether or not repair nerves and blood vessels. Results 19 cases of femoral shaft fractures and 15 cases of humeral shaft fractures were successfully completed. X-ray examination of fracture reduction showed good results. The operation time was close to that monitored under previous C-arm X-ray machine. One case of radial nerve injury patients showed good continuity under ultrasound examination. Incision repair was not conducted. Recovery of neurological function started after 3 weeks and achieve complete recovery after 3 months. Conclusion Intraoperative ultrasound-guided long bone fracture reduction is proved to be safe, reliable and low-cost, and is helpful to understand the condition of neurovascular injury. Radiation exposure can be avoided to some extent.
张志桐，申素芳，胡长青，王顺义，马战备，李辉. 超声监测下长骨骨折复位髓内针固定术的可行性初探[J]. 中国医疗设备, 2014, 29(3): 161-163.
ZHANG Zhi-tong, SHEN Su-fang, HU Chang-qing, WANG Shun-yi, MA Zhan-bei, LI Hui. Feasibility of Long Bone Fractures With Intramedullary Nail Fixation Under Ultrasound Monitoring. China Medical Devices, 2014, 29(3): 161-163.
