Grantham S A, Craig M
Columbia University, College of Physicians and Surgeons, Columbia-Presbyterian Medical Center, New York City.
Orthop Rev. 1986 Jul;15(7):426-32.
There is a growing trend to closed intramedullary nailing of femoral shaft fractures that we partially subscribe to. This report, however, concerns open reduction and intramedullary nailing of femoral shaft fractures from 1972-1982. Two groups of fractures are discussed independently--22 pathologic fractures and 88 traumatic fractures. Mortality figures as well as functional and anatomic results are presented. Complications include one superficial infection, two nonunions, and two delayed unions. This study provides us with a baseline measure for comparison with other methods now under consideration and on trial.
目前，股骨干骨折采用闭合髓内钉固定的趋势日益增长，对此我们部分认同。然而，本报告关注的是1972年至1982年间股骨干骨折的切开复位髓内钉固定。两组骨折分别进行讨论——22例病理性骨折和88例创伤性骨折。报告给出了死亡率以及功能和解剖学结果。并发症包括1例表浅感染、2例骨不连和2例延迟愈合。本研究为我们提供了一个基线指标，以便与目前正在考虑和试验的其他方法进行比较。
