Gottschalk F A, Graham A J, Morein G
Injury. 1985 May;16(6):377-81. doi: 10.1016/0020-1383(85)90048-8.
Fractures of the femoral shaft are often treated by an established method of internal fixation, such as a medullary nail or a plate and screws, to obviate the many disadvantages of traction and prolonged rest in bed. Fractures of the femoral shaft which are severely comminuted and open are usually unsuitable for internal fixation. Between July 1981 and March 1983 we treated seven patients with severely comminuted fractures of the femoral shaft (of which three were open), using the ASIF tubular external fixator system or the Wagner apparatus. The technique of application of the external fixator is important and is described. When correctly applied, the knee's movement was not restricted and few complications were experienced. All the fractures united within 8 months in a good position without shortening, and none required an additional operation. The use of the external fixator in these patients reduced their time in the hospital and facilitated their postoperative rehabilitation by allowing uncomplicated healing of a complicated fracture.
股骨干骨折通常采用既定的内固定方法治疗，如髓内钉或钢板螺钉，以避免牵引和长期卧床休息的诸多弊端。严重粉碎性和开放性股骨干骨折通常不适合内固定。1981年7月至1983年3月期间，我们使用ASIF管状外固定器系统或瓦格纳器械治疗了7例严重粉碎性股骨干骨折患者（其中3例为开放性骨折）。外固定器的应用技术很重要，在此予以描述。正确应用时，膝关节活动不受限制，并发症较少。所有骨折均在8个月内良好对位愈合，无短缩，无一例需要再次手术。在这些患者中使用外固定器减少了他们的住院时间，并通过使复杂骨折顺利愈合促进了术后康复。
