Seinsheimer F
Clin Orthop Relat Res. 1980 Nov-Dec(153):169-79.
The results of treatment of 47 supracondylar and intracondylar fractures of the femur treated at the Massachusetts General Hospital were examined using a new classification system. Patients with supracondylar fractures without intracondylar extension obtained better knee motion when treated with traction followed by a cast-brace then when treated with internal fixation. Patients with internal fixation. Patients with intracondylar fractures obtained better knee motion when treated with internal fixation. Traction followed by a long-leg cast should not be used for any of these fractures. Younger patients gained greater knee motion than older patients.
采用一种新的分类系统，对在马萨诸塞州总医院接受治疗的47例股骨髁上和髁间骨折的治疗结果进行了检查。对于无髁间延伸的髁上骨折患者，采用牵引后用石膏支具治疗比采用内固定治疗能获得更好的膝关节活动度。对于髁间骨折患者，采用内固定治疗能获得更好的膝关节活动度。对于这些骨折中的任何一种，都不应采用牵引后用长腿石膏的治疗方法。年轻患者比老年患者获得了更大的膝关节活动度。
