Faddeev D I
Ortop Travmatol Protez. 1991 Jun(6):8-13.
On the basis of an experience of application of modern methods of trans-osseous (123), intraosseous (67) and osseous (3) metallo-osteosynthesis and their combinations (30) in 159 victims (aged 4.5-86 years) with associated craniocerebral injury is drawn a conclusion on the expediency of application of different methods of metallo-osteosynthesis of long bones depending on a number of indications. In this case the severity of the craniocerebral injury and the victim state, the character and association of the bone fractures, the period of the traumatic disease are taken into consideration. The most efficient is the early application of stable metallo-osteosynthesis. Combination of the stable connection of fractured fragments with the principle of minimum intervention damaging is of special significance. For this reason in the period of early compensation (2 initial post-traumatic days) the trans-osseous osteosynthesis is preferable. Metallo-osteosynthesis is expedient according to the rigorous indication in the period of stable compensation (9-21 post-traumatic days), preferably at the closed fractures of femur and forearm. The results of treatment have been evaluated with 123 (77.36%) operated patients. The positive outcomes have been noted with 95% of patients that is indicative of the efficiency of the applied methods.
基于对159例（年龄4.5 - 86岁）合并颅脑损伤患者应用现代经骨（123例）、骨内（67例）和骨金属接骨术及其联合应用（30例）方法的经验，得出根据多种指征应用不同长骨金属接骨术方法的适宜性结论。在这种情况下，要考虑颅脑损伤的严重程度和患者状态、骨折的性质及合并情况、创伤疾病的时期。最有效的是早期应用稳定的金属接骨术。骨折碎片的稳定连接与最小干预损伤原则相结合具有特殊意义。因此，在早期代偿期（创伤后最初2天），经骨接骨术更可取。在稳定代偿期（创伤后9 - 21天），根据严格指征进行金属接骨术是适宜的，最好用于股骨和前臂的闭合性骨折。对123例（77.36%）接受手术的患者的治疗结果进行了评估。95%的患者有阳性结果，这表明所应用方法的有效性。
