Wiedmer U, Bianchini D
Helv Chir Acta. 1975 Sep;42(4):463-74.
This paper presents the functional conservative treatment of tibial shaft fractures following the principles of DEHNE and SARMIENTO. The disadvantages associated with classical conservative treatment (fracture disease, stiff joints, atrophy and dystrophy) are diminished by early mobilization, early weight bearing, and free mobility of the knee joint. Shaft fractures which give optimal results are those with minimal displacement and which are easily reducible. It is suggested that intraarticular fractures, fractures which have a marked tendency to slip, and those which are a part of multiple trauma, are more successfully treated applying rigid fixation according to ASIF principles.
本文介绍了遵循德内（DEHNE）和萨米恩托（SARMIENTO）原则对胫骨干骨折进行的功能保守治疗。早期活动、早期负重以及膝关节的自由活动减少了与传统保守治疗相关的缺点（骨折病、关节僵硬、萎缩和营养不良）。取得最佳效果的骨干骨折是那些移位最小且易于复位的骨折。有人认为，关节内骨折、有明显滑移倾向的骨折以及多发性创伤的一部分骨折，根据AO/ASIF原则采用坚强内固定治疗更为成功。
