Thomas T L, Meggitt B F
J Bone Joint Surg Br. 1981 Feb;63-B(1):3-6. doi: 10.1302/0301-620X.63B1.7204470.
A comparative study of methods for treating fractures of the distal half of the femur was carried out prospectively in the five-year period January 1973 to December 1977. The three methods compared were conservative treatment on a Thomas' splint, application of a knee-hinged cast-brace at five to seven weeks, and intramedullary nailing. The time in bed, in hospital and to union were compared as was the rate of functional recovery of the knee. It is concluded that the cast-brace provides a safe reliable method of treatment, combining the advantages of non-operative management with the early mobilisation possible with intramedullary fixation but without the disadvantages of surgical treatment.
1973年1月至1977年12月的五年期间，对股骨远端骨折的治疗方法进行了一项前瞻性比较研究。比较的三种方法为：在托马斯夹板上进行保守治疗、在五至七周时应用带膝铰链的管型支具以及髓内钉固定。比较了卧床时间、住院时间和骨折愈合时间，以及膝关节的功能恢复率。结论是，管型支具提供了一种安全可靠的治疗方法，它结合了非手术治疗的优点和髓内固定所能实现的早期活动，但没有手术治疗的缺点。
