Hall M F
South Med J. 1978 Dec;71(12):1474-9, 1481. doi: 10.1097/00007611-197812000-00009.
In 37 cases of supracondylar and intracondylar fractures of the femur treated by open reduction and internal fixation, a two-plane compression device, affording firm fixation in either the sagittal or frontal plane, was used with excellent results. Certain anatomic factors and associated injuries to the musculoskeletal system deserve classification, to enable the orthopedic surgeon to accurately evaluate and treat such fractures in the distal third of the femur. A negative attitude has been perpetuated concerning the ability of the trained orthopedic surgeon to reduce these fractures and adequately maintain the reduction for early mobilization. In 97% of our cases, results were good to excellent, and complications were infrequent. The purpose of this paper is, first, to describe a practicable classification of supracondylar and intracondylar fractures of the femur and, second, to describe the results in our series of cases treated a compression device specifically designed for these types of fractures.
在37例采用切开复位内固定治疗的股骨髁上和髁间骨折中，使用了一种双平面加压装置，该装置可在矢状面或额状面提供牢固固定，效果良好。某些解剖学因素以及肌肉骨骼系统的相关损伤值得分类，以便骨科医生能够准确评估和治疗股骨远端三分之一处的此类骨折。对于训练有素的骨科医生复位这些骨折并充分维持复位以进行早期活动的能力，一直存在负面态度。在我们97%的病例中，结果良好至优秀，并发症很少。本文的目的，首先是描述一种可行的股骨髁上和髁间骨折分类方法，其次是描述我们使用专门为这些类型骨折设计的加压装置治疗的一系列病例的结果。
