Behrens F, Searls K
J Bone Joint Surg Br. 1986 Mar;68(2):246-54. doi: 10.1302/0301-620X.68B2.3514629.
External fixation of fractures of the leg may give uneven results and a high rate of complications. We postulate that three basic principles can govern the optimal use of these devices. The external fixation frame should avoid damage to vital anatomical structures, it should allow access to the injured area and it should meet the mechanical demands of the patient and the injury. From 1978 to 1981 these principles were evaluated prospectively in 75 consecutive cases of complex tibial injury treated with an external frame. Most were open fractures. The study confirmed that the principles were safe and effective; they have general application and do not depend on the use of a particular frame or device. By following them we have eliminated the majority of complications seen after traditional methods of external fixation.
腿部骨折的外固定可能会产生不一致的结果且并发症发生率较高。我们推测有三条基本原则可指导这些装置的最佳使用。外固定架应避免损伤重要的解剖结构，应便于接近受伤区域，并且应满足患者和损伤的力学需求。1978年至1981年，对75例连续采用外固定架治疗的复杂胫骨损伤病例进行了前瞻性评估。大多数为开放性骨折。该研究证实这些原则是安全有效的；它们具有普遍适用性，并不依赖于特定的外固定架或装置。遵循这些原则，我们已消除了传统外固定方法后出现的大多数并发症。
