Stambough J L, Hopson C N, Cheeks M L
Department of Orthopaedic Surgery, University of Cincinnati School of Medicine, Ohio.
Orthop Rev. 1991 Oct;20(10):855-61.
A retrospective review of 99 cases of stable and unstable femoral shaft fractures treated with Grosse-Kempf intramedullary fixation is presented. Despite minor complications and technical problems, the procedures resulted in union with acceptable alignment in 98% of cases. Details of the complications and technical problems are reviewed. There was no incidence of deep infection despite 16 open fractures. The two cases of nonunion were salvaged with revision internal fixation and bone grafting. Grosse-Kempf interlocking intramedullary fixation is a technically demanding procedure, but offers excellent results in the management of stable and unstable, open and closed fractures of the femoral shaft.
本文对99例采用Grosse-Kempf髓内固定治疗的稳定型和不稳定型股骨干骨折进行了回顾性研究。尽管存在一些轻微并发症和技术问题，但该手术在98%的病例中实现了骨折愈合且对线可接受。文中回顾了并发症和技术问题的细节。尽管有16例开放性骨折，但未发生深部感染。两例骨不连通过翻修内固定和植骨得以挽救。Grosse-Kempf交锁髓内固定是一项技术要求较高的手术，但在治疗股骨干稳定型和不稳定型、开放性和闭合性骨折方面效果良好。
