Webb L X, Winquist R A, Hansen S T
Clin Orthop Relat Res. 1986 Nov(212):133-41.
One hundred five consecutive patients with a diagnosis of delayed union (61 patients) or nonunion (44 patients) of the femoral shaft from February 1968 to November 1983 were managed by intramedullary reaming and nailing. The procedure was accomplished by closed techniques in 82 of the cases. Adequate follow-up study was obtained in 101 patients; all but four showed clinical and radiologic union at an average of 20 weeks following the procedure, with an overall union rate of 96%. The four patients whose fractures failed to consolidate with this treatment had repeat procedures with placement of thicker nails, and all subsequently healed.
1968年2月至1983年11月期间，105例连续诊断为股骨干延迟愈合（61例）或骨不连（44例）的患者接受了髓内扩髓和髓内钉固定治疗。其中82例采用闭合技术完成手术。101例患者获得了充分的随访研究；除4例患者外，其余所有患者在术后平均20周时均实现了临床和影像学愈合，总体愈合率为96%。这4例骨折经此治疗未愈合的患者接受了再次手术，更换了更粗的髓内钉，随后均实现了愈合。
