Hiemer W, Gerstner C, Hopf G, Aleksic D, Jaschke W
Zentralbl Chir. 1980;105(22):1503-7.
Considering our own results with treating 96 children by Küntscher nailing we cannot agree with other authors who prefer conservative treatment of femoral shaft fractures in infancy. Using a special technique which avoids injuries of the epiphyseal zone, we neither found unphysiological differences in legs length nor varus or valgus displacements three months to five years after nail removal. Bacterial infections are extremely rare. Healing mostly follows without complications. In well defined cases we think operative treatment has the following advantages: short period of hospitalization, early mobilization, easy medical care, little x-ray exposition and lowering of costs.
考虑到我们自己采用 Küntscher 髓内钉治疗 96 名儿童的结果，我们不同意其他作者更倾向于对婴儿股骨干骨折采用保守治疗的观点。通过一种避免骨骺区损伤的特殊技术，在取出髓内钉后三到五年，我们既未发现双下肢长度存在非生理性差异，也未发现内翻或外翻移位。细菌感染极为罕见。骨折大多顺利愈合，无并发症。在明确界定的病例中，我们认为手术治疗具有以下优点：住院时间短、早期活动、易于护理、减少 X 线照射以及降低费用。
