Søjbjerg J O, Eiskjaer S, Møller-Larsen F
Department of Orthopaedic Surgery, Aarhus Kommunehospital, University of Aarhus, Denmark.
J Bone Joint Surg Br. 1990 Jan;72(1):23-5. doi: 10.1302/0301-620X.72B1.2298789.
Forty comminuted or unstable fractures of the femoral shaft were treated by closed intramedullary reaming and locked nailing. Twenty-four fractures were severely comminuted, and the other 16, in the distal or proximal third of the shaft, were classified as unstable. At 12 to 30 months postoperatively all the fractures had healed. Three patients had lateral rotation deformity of 5 degrees to 10 degrees, three had shortening of 1 to 2 cm and two had lengthening of about 1 cm. There were no infections or delayed unions. Closed intramedullary locked nailing can provide stability in fractures of the femoral shaft, irrespective of the degree of comminution and the site of injury.
40例股骨干粉碎性骨折或不稳定骨折采用闭合髓内扩髓及带锁髓内钉固定治疗。其中24例为严重粉碎性骨折，另外16例位于股骨干远侧或近侧1/3，属于不稳定骨折。术后12至30个月时，所有骨折均已愈合。3例出现5至10度的外旋畸形，3例短缩1至2厘米，2例延长约1厘米。无感染或骨不连发生。闭合髓内带锁髓内钉固定可使股骨干骨折获得稳定，无论粉碎程度及损伤部位如何。
