Homawoo K
Département de Chirurgie, Centre Hospitalier Universitaire de Lomé, Togo.
Int Orthop. 1987;11(4):349-52. doi: 10.1007/BF00271313.
The management of 51 comminuted fractures of the shaft of the femur, treated in Africa with limited facilities, is described. The majority were immobilised on traction followed by a period in a plaster cast. Two thirds of the results were judged to be good or very good. In fifteen cases traction did not produce satisfactory alignment. Intramedullary nailing was then employed between the 16th and 47th days, when the fractures were beginning to unite. The fracture site was opened but intramedullary reaming was not used. These relatively unsophisticated methods produced satisfactory results.
本文描述了在非洲有限医疗条件下对51例股骨干粉碎性骨折的治疗情况。大多数患者先进行牵引固定，随后再打一段时间的石膏。三分之二的治疗结果被判定为良好或非常好。有15例牵引后骨折对位不满意。于是在骨折开始愈合的第16天至47天之间采用了髓内钉固定。手术切开了骨折部位，但未进行髓腔扩髓。这些相对简单的方法取得了令人满意的效果。
