Bleuler P, Schilling G, Ganzoni N
Helv Chir Acta. 1979 May;46(1-2):13-20.
The patella-tendon-bearing cast described by Sarmiento was used in the treatment of 96 tibial fractures. Full weight-bearing was permitted even if the fractures were completely unstable and had a marked tendency to shorten. Only in one case weight-bearing led to a dislocation of the fragments. Specific complications were not seen. It was evident that the PTB-cast was most advantageous to the patient in comparison with a conventional cast and sometimes even in comparison with an osteosynthesis, which does not tolerate weight-bearing. To integrate the Sarmiento-cast in the routine of a small or middle sized hospital, we recommend to observe the following rules: 1. The cast is not applied immediately after the accident, but after one to three weeks of conventional conservative treatment. 2. It is made by two specially trained doctors. 3. The controls of the out-patients are performed in the hospital and not delegated to the family doctor.
萨米恩托描述的髌腱承重石膏用于治疗96例胫骨骨折。即使骨折完全不稳定且有明显缩短趋势，也允许完全负重。仅1例负重导致骨折块移位。未发现特殊并发症。显然，与传统石膏相比，髌腱承重石膏对患者最为有利，有时甚至与不能耐受负重的骨固定术相比也是如此。为了将萨米恩托石膏纳入中小型医院的常规治疗，我们建议遵循以下规则：1. 石膏不在事故后立即应用，而是在进行一至三周的传统保守治疗后应用。2. 由两名经过专门培训的医生制作。3. 门诊患者的检查在医院进行，不委托给家庭医生。
