Sharma J C, Gupta S P, Mathur N C, Kalla R, Aseri M K, Biyani A, Arora A
Department of Orthopaedic Surgery, Rehabilitation Research Centre, Jodhpur, India.
J Trauma. 1993 Jun;34(6):786-91. doi: 10.1097/00005373-199306000-00006.
Eighty-one patients with comminuted femoral shaft fractures were treated by closed unlocked Küntscher nailing and functional cast bracing for 1 to 4 weeks postoperatively depending on the degree of comminution. The mean follow-up period was 27.6 months. The average time required for fracture healing was 14 weeks. There was one delayed union. One fracture united with more than 10 degrees of rotational malalignment; shortening of more than 1 cm was present in four cases. Two patients had more than 20 degrees of limitation of hip and knee movement.
81例股骨干粉碎性骨折患者采用闭合非锁定Küntscher髓内钉治疗，并根据粉碎程度在术后1至4周进行功能性石膏固定。平均随访时间为27.6个月。骨折愈合所需的平均时间为14周。有1例延迟愈合。1例骨折愈合伴有超过10度的旋转畸形；4例出现超过1厘米的短缩。2例患者髋膝关节活动受限超过20度。
