Rowlands T K, Clasper J
SHO Trauma and Orthopaedics, 33 Field Hospital, Op TELIC.
J R Army Med Corps. 2003 Dec;149(4):291-3. doi: 10.1136/jramc-149-04-09.
The Thomas splint was developed for the stabilisation of femoral fractures at the end of the nineteenth century, and since the First World War has been extensively used by the British Army. It has been shown to improve the outcome after ballistic fractures of the femur, but recently there have been moves to abandon this device in favour of more modern splints such as the Sager splint. This is predominately due to the ease of use and smaller size of newer devices, which makes them more suitable for the pre-hospital environment. However, we present our experience of managing both ballistic and closed femoral injuries using Thomas splints during the recent Gulf Conflict. It is our belief that the Thomas splint is an essential tool in the management of military femoral injuries at role three facilities and must be retained.
托马斯夹板于19世纪末被研发用于稳定股骨骨折，自第一次世界大战以来，英国军队广泛使用该夹板。已有研究表明，它能改善股骨弹道伤的治疗效果，但最近有人主张弃用这种装置，转而使用更现代的夹板，如萨格尔夹板。这主要是因为新型装置使用方便且尺寸更小，使其更适合院前环境。然而，我们介绍了在最近的海湾冲突期间使用托马斯夹板处理弹道伤和闭合性股骨损伤的经验。我们认为，托马斯夹板是在三级医疗设施处理军事股骨损伤的重要工具，必须保留。
