Garland D E, Chick R, Taylor J, Salisbury R B
Clin Orthop Relat Res. 1981 Oct(160):86-93.
Thirty patients with proximal third femur fractures were treated with pins-in-thigh plaster. Patients were divided into two groups: (1) acute (pins-in-plaster applied within one month after injury); and (2) late (pins-in-plaster applied later than one month ater injury). Patients in the acute group had application of pins-in-plaster inserted at an average of nine days after injury, and were treated in plaster for 9.4 weeks with union occurring at 10.7 weeks. Patients in the late group had application of pins-in-plaster an average of 13.3 weeks after injury, treatment in plaster for 7.7 weeks, and union at 21 weeks. Subtrochanteric fractures healed as rapidly as other areas of the femur when braced early. Twenty-five fractures demonstrated less than 2 cm of shortening and less than 10 degrees of varus. There were no nonunions. One patient developed a deep wound infection. Antibiotics were required in seven patients because of pin tract drainage, which ceased once the pins were removed. This method is indicated in active patients with comminuted or open fractures but neither in the elderly or senile patients, or in intertrochanteric-subtrochanteric fractures.
30例股骨近端三分之一骨折患者采用大腿穿针石膏固定治疗。患者分为两组：（1）急性组（伤后1个月内应用穿针石膏）；（2）晚期组（伤后1个月后应用穿针石膏）。急性组患者伤后平均9天应用穿针石膏，石膏固定9.4周，10.7周时骨折愈合。晚期组患者伤后平均13.3周应用穿针石膏，石膏固定7.7周，21周时骨折愈合。转子下骨折早期支具固定时愈合速度与股骨其他部位一样快。25例骨折缩短小于2 cm，内翻小于10度。无骨折不愈合病例。1例患者发生深部伤口感染。7例患者因针道引流需要使用抗生素，拔除钢针后引流停止。该方法适用于有粉碎性或开放性骨折的活动患者，但不适用于老年患者或转子间-转子下骨折患者。
