Gates D J, Alms M, Cruz M M
J Bone Joint Surg Br. 1985 Nov;67(5):750-6. doi: 10.1302/0301-620X.67B5.4055875.
Hinged casts and roller traction were used in two developing countries to treat fractured femora, most of which were due to road traffic accidents or civil violence. This method of treatment, developed by Neufeld, is particularly useful in the Third World because it uses local materials, adapted in a hospital workshop, and circumvents the difficulties and complications of standard traction and of operative treatment. The results are reported from 11 patients treated in Uganda in 1979 and from 110 treated in the Dominican Republic in 1981 and 1982. All but one fracture united without complication or significant shortening after a brief period in hospital. The method was easily taught to hospital staff and is strongly recommended.
在两个发展中国家，铰链式石膏和滚筒牵引被用于治疗股骨干骨折，其中大部分骨折是由道路交通事故或内乱导致的。这种由诺伊费尔德开发的治疗方法在第三世界特别有用，因为它使用在医院车间改装的当地材料，避免了标准牵引和手术治疗的困难与并发症。本文报告了1979年在乌干达治疗的11例患者以及1981年和1982年在多米尼加共和国治疗的110例患者的治疗结果。除1例骨折外，所有骨折在住院短时间后均愈合，无并发症或明显短缩。该方法很容易教授给医院工作人员，强烈推荐使用。
