Schvingt E, Jacquemaire B, Babin S, Katzner M
Rev Chir Orthop Reparatrice Appar Mot. 1976 Mar;62(2):137-49.
The authors advocate the technique of blind medullary nailing with reaming of the medullary canal followed by a several weeks-traction in the treatment of compound fractures of the femoral shaft. This method is specially indicated in bursts of the bone, when no stability can be obtained after osteosynthesis and was used in 44 cases. In the same time blind nailing without traction was applied to 272 cases. The results were: sepsis: 0; non-unions: 0; malunions: 5; stiff knees: 3.
作者主张采用闭合髓内钉技术,先扩髓,然后对股骨干开放性骨折进行数周牵引治疗。这种方法特别适用于粉碎性骨折,即骨折固定后无法获得稳定性的情况,该方法应用于44例患者。同时,对272例患者采用了无牵引的闭合髓内钉固定。结果如下:感染:0例;骨不连:0例;畸形愈合:5例;膝关节僵硬:3例。