Cannon S R, Taylor A R, Lynch A R
Injury. 1985 May;16(6):367-70. doi: 10.1016/0020-1383(85)90045-2.
Thirty patients were managed with the use of a simple means of external fixation. Ten of these patients had multiple injuries. In 18 the fractures were open. Five cases had loss of bone length and infected wounds when first seen and were treated with the aid of microvascular surgical procedures. Eight cases required skin grafting. One case required a vein graft to the popliteal artery. The method described is simple to use. It requires little previous experience and is cost effective. We recommend its use in the initial treatment of grade 2 and 3 open fractures. It may also be used on closed unstable fractures, and will maintain limb length in severe injuries with loss of bone substance while further treatment is considered or performed.
30例患者采用一种简单的外固定方法进行治疗。其中10例患者有多处损伤。18例骨折为开放性骨折。5例患者初次就诊时存在骨长度丢失和感染伤口，接受了微血管外科手术治疗。8例患者需要植皮。1例患者需要对腘动脉进行静脉移植。所描述的方法使用简单。几乎不需要先前的经验，且具有成本效益。我们建议将其用于2级和3级开放性骨折的初始治疗。它也可用于闭合性不稳定骨折，并且在考虑或进行进一步治疗时，对于伴有骨质丢失的严重损伤可维持肢体长度。
