van der Linden W, Larsson K
J Bone Joint Surg Am. 1979 Sep;61(6A):873-8.
One hundred consecutive patients with displaced fractures of the tibial shaft were randomly assigned to two groups, one treated with AO-plate fixation and the other with conservative methods. Strictly conservative treatment failed in two patients because of the interposition of muscles. Comparison of the groups showed that a longer duration of hospital stay was needed in the AO-plate group, and there were also more complications in that group. However, the median healing time was shorter and the anatomical end results were better than in the conservatively treated patients. Closed longitudinal fractures were found to be suitable and open fractures, unsuitable for AO-plate fixation. In the group that was treated conservatively most fractures that healed in malalignment were located in the distal third of the tibial shaft.
100例胫骨干移位骨折患者被随机分为两组，一组采用AO钢板固定治疗，另一组采用保守方法治疗。由于肌肉嵌入，两名患者严格的保守治疗失败。两组比较显示，AO钢板组住院时间更长，该组并发症也更多。然而，其中位数愈合时间较短，解剖学最终结果优于保守治疗的患者。发现闭合性纵形骨折适合AO钢板固定，而开放性骨折不适合。在保守治疗组中，大多数畸形愈合的骨折位于胫骨干远端三分之一处。
