Fröhlich P
Zentralbl Chir. 1987;112(7):429-33.
Clip-type fixators are preferred for femur treatment because of the specific anatomic conditions. Good experience has been obtained from the Magdeburg fixator (an improved configuration of the Wagner fixator). Indication for fixator osteosynthesis on the femur does not differ from the generally valid principles. The approach was found to be suitable also for polytraumatised cases. Complications are controllable, and late results are satisfactory. The rate of osteitis amounted to 3.2 per cent. Problems were recorded from cases of infection, following plate-type osteosynthesis for multifragment fractures, which were even more severe when inspection and plate removal had been delayed. Methods have to be changed in all cases in which fractures have not healed within four to six months. Secondary osteosynthesis in such cases is usually combined with spongiosa reconstitution. A load-relieving fracture box may be sufficient for six months.
由于特定的解剖条件，夹子式固定器更适合用于股骨治疗。从马格德堡固定器（瓦格纳固定器的改良构型）已获得了良好的经验。股骨固定器骨合成的适应症与普遍适用的原则并无不同。该方法也被发现适用于多发伤病例。并发症是可控的，后期结果令人满意。骨炎发生率为3.2%。在多段骨折采用钢板式骨合成后出现感染的病例中记录到了问题，当检查和钢板取出延迟时情况更为严重。在骨折四至六个月内未愈合的所有病例中都必须改变治疗方法。这种情况下的二期骨合成通常与松质骨重建相结合。一个减轻负荷的骨折盒可能足以使用六个月。
