Costa P, Carretti P, Giancecchi F, Pignedoli P, Rotini R, Tartaglia I
Divisione di Ortopedia e Traumatologia, Arcispedale S. Maria Nuova, Reggio Emilia.
Ital J Orthop Traumatol. 1988 Dec;14(4):475-82.
The Gross-Kempf locked intramedullary nail widens the indications for the traditional Küntscher nail in the treatment of diaphyseal and metaphyseal fractures of the lower limbs. The study includes 87 patients with a total of 93 closed fractures treated between 1981 and 1987. Osteosynthesis was carried out in 85 closed fractures and in 8 Grade 1 or 2 open fractures. Possible assemblies in relation to the level and type of fracture and the protocol for weightbearing are illustrated, with emphasis on the fact that dynamization of static assemblies is not always essential. The high percentage of positive results (86%) and the relatively small incidence of complications confirm the validity of this method. The only drawback is the fairly high dose of radiation absorbed by the surgeon during the operation.
格罗斯-肯普夫锁定髓内钉扩大了传统金特髓内钉在治疗下肢骨干和干骺端骨折方面的适应证。该研究纳入了1981年至1987年间共93例闭合性骨折的87例患者。对85例闭合性骨折和8例1级或2级开放性骨折进行了骨固定。阐述了与骨折部位和类型相关的可能的固定方式以及负重方案，强调了静态固定并非总是需要动力化这一事实。高比例的阳性结果（86%）和相对较低的并发症发生率证实了该方法的有效性。唯一的缺点是手术过程中医生吸收的辐射剂量相当高。
