Acker J H, Murphy C, D'Ambrosia R
Orthopedics. 1985 Nov;8(11):1393-401. doi: 10.3928/0147-7447-19851101-12.
Intramedullary rod placement provides excellent fixation for many fractures of the femur. It also carries a high union rate, a low infection rate, and a shortened hospital stay for the patient. Certain fractures of the femur are not suitable for fixation with a standard intramedullary and alone. Use of the Grosse-Kempf rod, with interlocking screws, allows for stable fixation for long oblique fractures, spiral fractures, comminuted fractures, segmental fractures, fractures with a butterfly fragment, and fractures located in the proximal or distal shaft of the femur. The Louisiana State University (LSU) Orthopedic experience in the use of the Grosse-Kempf rod is presented in this article. We have treated a total of 60 fractures of the femur in 58 patients with this fixation system. This series consists of 58 acute fractures, one established nonunion, and one established infected nonunion. All patients in the group of acute fractures and who have had adequate follow up and time have healed. This group consists of 29 healed fractures and four fractures which are healing, but have recently had the static screw removed. Eight patients were lost to follow up, two died of causes unrelated to the treatment, and 17 have been placed recently and have not had time to heal. There was one instance of wound infection in the acute fracture group, associated with the distal screws, but this has not required rod removal. The Grosse-Kempf rod provides the treating physician with another option in the treatment of fractures of the femur not suitable for use by the standard intramedullary rod. The procedure is difficult, but we have found it to be reliable in treatment of difficult fractures.
髓内钉置入可为许多股骨骨折提供良好的固定。它还具有高愈合率、低感染率，并能缩短患者的住院时间。某些股骨骨折不适合单纯使用标准髓内钉固定。使用带有锁定螺钉的格罗斯-肯普夫（Grosse-Kempf）髓内钉，可对长斜形骨折、螺旋形骨折、粉碎性骨折、节段性骨折、伴有蝶形骨块的骨折以及位于股骨近段或远段骨干的骨折进行稳定固定。本文介绍了路易斯安那州立大学（LSU）在使用格罗斯-肯普夫髓内钉方面的骨科经验。我们使用该固定系统共治疗了58例患者的60例股骨骨折。该系列包括58例急性骨折、1例陈旧性骨不连和1例陈旧性感染性骨不连。急性骨折组中所有获得充分随访且有足够时间的患者均已愈合。该组包括29例已愈合的骨折和4例正在愈合但最近已取出静力螺钉的骨折。8例患者失访，2例死于与治疗无关的原因，17例最近接受治疗且尚无时间愈合。急性骨折组有1例伤口感染，与远端螺钉有关，但未要求取出髓内钉。格罗斯-肯普夫髓内钉为治疗不适合使用标准髓内钉的股骨骨折的治疗医师提供了另一种选择。该手术难度较大，但我们发现它在治疗复杂骨折方面是可靠的。
