Asche G
Zentralbl Chir. 1986;111(7):391-7.
Conservative treatment is usually applied to fractures in childhood. However, stabilisation of such fractures is necessary for certain indications. Indications for stabilisation are specified, and a new technique for stabilisation is described. Fractures were stabilised in 40 children, using a clamp-type fixator. In this context, Hoffmann's external fixator is recommended for cases of closed resetting, since additional and corrective resetting would then be possible even after application of bone nails and apparatus. The following advantages are likely to be provided by the above approach: reduced time of hospitalisation, very early possibility of mobilisation and exposure to loading, minor traumatisation in the course of stabilisation of such fractures. No blood transfusion has ever been necessary for blood supply to patients with femoral fractures. Absence from school has been minimized. This surgical approach has proved to be simple and of low-risk nature, as compared to plate osteosynthesis.
保守治疗通常适用于儿童骨折。然而，对于某些适应症，此类骨折的稳定化是必要的。明确了稳定化的适应症，并描述了一种新的稳定化技术。使用夹式固定器对40名儿童的骨折进行了稳定化处理。在这种情况下，对于闭合复位的病例，推荐使用霍夫曼外固定器，因为即使在应用骨钉和器械后，仍有可能进行额外的和矫正性复位。上述方法可能具有以下优点：缩短住院时间、极早期即可活动和负重、在这类骨折稳定化过程中创伤较小。股骨骨折患者从未需要输血来供血。缺课时间已减至最少。与钢板接骨术相比，这种手术方法已证明简单且风险低。
