Wildburger R, Mähring M, Hofer H P
Department für Unfallchirurgie, Universitätsklinik für Chirurgie Graz.
Aktuelle Traumatol. 1991 Oct;21(5):182-8.
Today, femoral shaft fractures are often treated by open or closed intramedullary nailing because of a lower rate of complications with this method. Therefore, the practice of plating these fractures is now decreasing. We studied the indications for nailing and for plating, as well as the indications when both methods can be used with the same results. At the University Clinic of Surgery in Graz, 107 femoral shaft fractures were plated between 1983-1986. We could find no higher incidence of complications between plating or nailing femoral fractures described by previous authors compared with our own results.
如今，由于髓内钉固定术的并发症发生率较低，股骨干骨折常采用切开或闭合髓内钉固定治疗。因此，目前采用钢板固定这些骨折的做法正在减少。我们研究了髓内钉固定和钢板固定的适应证，以及两种方法均可取得相同效果的适应证。在格拉茨大学外科诊所，1983年至1986年间对107例股骨干骨折进行了钢板固定。与我们自己的结果相比，我们发现先前作者描述的股骨干骨折钢板固定或髓内钉固定的并发症发生率并没有更高。
