Noer H H, Christensen N
Ortopaedkirurgisk afdeling, Roskilde Amts Sygehus Køge.
Ugeskr Laeger. 1993 Aug 30;155(35):2699-702.
In the period from November 1987 to March 1990 17 supracondylar femoral fractures were treated a.m. Orthofix at the orthopaedic departments in Roskilde and Køge, Denmark. The fractures were classified according to Müller et al. There were 13 in group 2A and four in group 3A. In 16 cases the fractures occurred after minimal trauma. Time of operation was 55 minutes (30-150). The patients were fully mobilized after 16 days. The dynamizising procedure took place after six weeks, and the fixator was removed when the fracture was healed after 11 weeks. According to Neer's scoring system the results were good or excellent in 12 cases, and fair on one case. In all patients we found solid bony union. In seven cases we found pin infection. It was not necessary to operate because of the infection in any of these cases. Four cases were complicated with dislocation of the fracture because of bad locking at the ball joint of the fixator. We find this method easy to use in contrast to traditional osteosynthesis. The patients are quickly mobilized. It is easy to correct the fracture and the method gives solid bony healing.
在1987年11月至1990年3月期间，丹麦罗斯基勒和科厄的骨科部门采用Orthofix治疗了17例股骨髁上骨折。骨折根据米勒等人的方法进行分类。2A组有13例，3A组有4例。16例骨折发生在轻微创伤后。手术时间为55分钟（30 - 150分钟）。患者在16天后完全活动。动力化程序在六周后进行，固定器在11周骨折愈合后拆除。根据尼尔评分系统，12例结果为良好或优秀，1例为中等。所有患者均实现了牢固的骨愈合。7例出现钢针感染。这些病例中无一例因感染而需要手术。4例因固定器球窝关节锁定不良而并发骨折脱位。我们发现与传统骨固定术相比，这种方法易于使用。患者能迅速活动。骨折易于矫正，该方法能实现牢固的骨愈合。
