Wu C C, Shih C H
Chang Gung Medical College, Department of Orthopedics, Chang Gung Memorial Hospital, Taoyuan, Taiwan, R.O.C.
Acta Orthop Scand. 1991 Aug;62(4):342-5. doi: 10.3109/17453679108994466.
We treated 28 fractures of the distal femur with a Grosse-Kempf interlocking nail, and the patients were followed for at least 1 year. Five fractures did not unite, and the rest healed after 5 (3-7) months. Nail breakage was the most serious complication; and the more distal the fracture was, the more easily the nail broke. With the addition of a cast brace and protected weight bearing, a locked nail is a good type of fixation for distal femoral fractures down to 4 cm above the condyles.
我们使用Grosse-Kempf交锁髓内钉治疗了28例股骨远端骨折患者，并对患者进行了至少1年的随访。5例骨折未愈合，其余骨折在5（3 - 7）个月后愈合。髓内钉断裂是最严重的并发症；骨折部位越靠近远端，髓内钉越容易断裂。加上石膏托和保护性负重，锁定髓内钉是治疗距髁上4 cm以下股骨远端骨折的一种良好固定方式。
