Eriksson E, Wallin C
Orthopedics. 1986 Feb;9(2):201-4. doi: 10.3928/0147-7447-19860201-11.
Early rodding of femoral fractures is preferable from an intensive care point of view. It has, however, been claimed that early rodding leads to impaired healing of the fractures. Healing time and complications in 20 fractures of the femur operated with Küntscher rods within 12 hours after injury were therefore compared with 47 fractures treated with traction for ten days and then Küntscher-rodding. No significant differences in results were found between the two groups concerning complications, but the acutely operated individuals returned to work on an average of two months earlier than the delayed group. If proper shock treatment is given and concomitant injuries with higher priority are treated first, early Küntscher-rodding does not seem to impair the healing of femoral fractures.
从重症监护的角度来看，早期对股骨骨折进行髓内针固定更为可取。然而，有人声称早期髓内针固定会导致骨折愈合受损。因此，将受伤后12小时内采用Küntscher髓内针治疗的20例股骨干骨折的愈合时间和并发症情况，与47例先牵引十天然后再行Küntscher髓内针固定治疗的股骨干骨折情况进行了比较。两组在并发症方面未发现显著差异，但早期手术的患者比延迟手术的患者平均提前两个月恢复工作。如果给予适当的休克治疗并优先处理更严重的合并伤，早期Küntscher髓内针固定似乎不会损害股骨干骨折的愈合。
