Kempf I, Grosse A, Lafforgue D
Rev Chir Orthop Reparatrice Appar Mot. 1978 Dec;64(8):635-51.
The authors describe a technique of Kuntscher intramedullary nailing combined with screws driven through the bone and the nail above and below the fracture site. This technique gives better stability of the fracture and allows extension of intramedullary nailing to severely comminuted fractures, fractures with loss of bone and to proximal or distal fractures. Risks of rotational instability or shortening are diminished. The technique is fully described. With the use of correct ancillary instruments, x-ray exposure is minimal. Biomechanical experiments conducted to determine the best position of the screws for optimal locking of the nail are described. The results obtained in one hundred and sixteen cases are analysed. The technique was also used in the treatment of non-union and in the fixation of osteotomies.
作者描述了一种将Küntscher髓内钉技术与穿过骨折部位上下的骨骼及髓内钉的螺钉相结合的技术。该技术能使骨折获得更好的稳定性，并允许将髓内钉技术应用于严重粉碎性骨折、骨质缺损骨折以及近端或远端骨折。旋转不稳定或缩短的风险降低。对该技术进行了全面描述。使用正确的辅助器械时，X线暴露最少。描述了为确定螺钉的最佳位置以实现髓内钉最佳锁定而进行的生物力学实验。分析了116例患者的治疗结果。该技术还用于治疗骨不连和截骨固定。
