Brown P E, Preston E T
J Trauma. 1975 Oct;15(10):860-8. doi: 10.1097/00005373-197510000-00004.
Our early results support use of the cast-brace, early ambulation treatment of both open and closed fractures of the femoral shaft in all adult age groups. We believe initial traction should be used to reduce the fracture and maintain reduction until the fracture is clinically "sticky" to avoid subsequent malalignment in the cast-brace. The method facilitates early rehabilitation of the fractured extremity and the patient with minimal residual disability such as non-union, malunion, chronic infection and joint stiffness, so often associated with other forms of long bone fracture treatment.
我们的早期结果支持在所有成年年龄组中，对股骨干开放性和闭合性骨折均采用管型支具、早期下床活动的治疗方法。我们认为，应使用初始牵引来复位骨折并维持复位，直到骨折在临床上“稳定”，以避免在管型支具中出现后续的对线不良。该方法有助于骨折肢体和患者的早期康复，使诸如骨不连、畸形愈合、慢性感染和关节僵硬等残留残疾降至最低，而这些情况在其他形式的长骨骨折治疗中常常出现。
