骨科英文书籍精读（267）｜开放性髓内钉治疗股骨干骨折
我们正在精读国外经典骨科书籍《Apley’s System of Orthopaedics and Fractures》，想要对于骨科英文形成系统认识，为以后无障碍阅读英文文献打下基础，请持续关注。
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Open medullary nailing is a feasible alternative where facilities for closed nailing are lacking. A limited lateral exposure of the femur is made; the fracture is reduced and a guidewire is passed between the main proximal and distal fragments. A small exposure to achieve reduction does not significantly affect the risk of complications or fracture healing as compared to ‘closed’ nailing.
---from 《Apley’s System of Orthopaedics and Fractures》
重点词汇整理：
Open medullary nailing is a feasible alternative where facilities for closed nailing are lacking. 在缺乏闭合髓内钉治疗设施的情况下，开放式髓内钉是一种可行的选择。
medullary /ˈmedəˌleri/adj. 骨髓的；髓质的；脊髓的
a feasible alternative一个可行的替代方法
guidewire导丝；准绳；尺度定距索
A small exposure to achieve reduction does not significantly affect the risk of complications or fracture healing as compared to ‘closed’ nailing.与“闭合”髓内钉相比，小范围切开暴露骨折端以达到复位效果并不会显著增加并发症风险或影响骨折愈合。
百度翻译：
开放式髓内钉是一种可行的替代方法，其中关闭钉缺乏设施。对股骨进行有限的侧向暴露；减少骨折，并在主要近端和远端碎片之间通过导丝。与“闭合”内钉相比，少量暴露以实现复位不会显著影响并发症或骨折愈合的风险。