Rööser B, Hansson P
Injury. 1985 May;16(6):371-3. doi: 10.1016/0020-1383(85)90046-4.
In five patients with ipsilateral femoral and tibial shaft fractures the Hoffmann apparatus was used to stabilize the fractures of both the femur and tibia. The patients walked early and there were no disturbances of fracture healing. The pin track became infected in three patients. It is suggested that in patients with ipsilateral fractures of the femur and tibia external fixation is indicated for the tibia and that the fracture of the femur should be stabilized by closed medullary nailing. If the patient is critically ill or if there is gross comminution of the femur external fixation is indicated for this fracture as well.
在5例同侧股骨干和胫骨干骨折患者中，使用了霍夫曼氏器械来稳定股骨和胫骨骨折。患者早期即可行走，且骨折愈合未受干扰。3例患者出现针道感染。建议对于同侧股骨和胫骨骨折患者，胫骨采用外固定，股骨骨折采用闭合髓内钉固定。如果患者病情危重或股骨严重粉碎，则该骨折也应采用外固定。
