Tkachenko S S, Dem'ianov V M, Kravchenko S I
Vestn Khir Im I I Grek. 1975 May;114(5):91-5.
295 patients subjected to screw osteosynthesis for closed oblique and screw-shape fractures of crural, brachial and antebrachial bones were under observation. The use of screws of a cylindrical form with a somewhat conus-like head and deep slit seems to be most rational for osteosynthesis. To apply screws properly two drills should be available. One should be equal to the diameter of a screw, the other-0.5 mm less. Following screw ostenosynthesis an adequate plaster dressing is applied for 2-3 months. The results of the treatment were good in 280 patients (95%) and poor-in 15 patients (5%). The causes of failure were as follows: improper indications to screw osteosynthesis, an early cessation of immobilization of an extremity in a plaster dressing, and too early loading on the extremity.
对295例因小腿、上臂和前臂闭合性斜形及螺旋形骨折而接受螺丝钉骨固定术的患者进行了观察。使用头部略呈圆锥形且有深槽的圆柱形螺丝钉进行骨固定似乎最为合理。为正确应用螺丝钉，应备有两把钻头。一把的直径应与螺丝钉相等，另一把小0.5毫米。螺丝钉骨固定术后，需用合适的石膏绷带固定2至3个月。280例患者（95%）治疗效果良好，15例患者（5%）效果不佳。失败原因如下：螺丝钉骨固定术的适应证不当、过早停止用石膏绷带固定肢体以及过早对肢体施加负荷。
