胫骨骨折是最常见的长骨骨折,应用髓内钉治疗胫骨骨折的优点在于分散应力,保护髓外血运,避免额外的软组织剥离。但髓内钉治疗胫骨干骺端骨折也存在骨折复位不良,再次移位,畸形愈合,骨折延迟愈合以及不愈合等并发症。为了减少并发症,一些髓内钉固定技术和复位技术已经得到了发展。本文就胫骨干骺端骨折髓内钉治疗固定方法和复位技术的改进进行综述。

Tibial fractures are the most common long bone fractures. The benefits of intramedullary nailing of these fractures include load sharing, sparing of the extraosseous blood supply and avoidance of additional soft-tissue dissection. But intramedullary nailing also causes different complications, like primary and secondary mal-alignment, malunion, delayed healing and non-healing of tibial metaphyseal fractures. Several nailing methods and reduction techniques have been developed to minimize these complications. The improvements of nailing methods and reduction techniques of intramedullary nailing were reviewed.