Wu C C, Shih C H, Ueng W N, Chen Y J
Department of Orthopedic Surgery, Chang Gung Memorial Hospital, Chang Gung Medical College, Taiwan, R.O.C.
Clin Orthop Relat Res. 1993 Feb(287):224-30.
In a prospective study, 35 segmental femoral shaft fractures were treated either with closed intramedullary nails (most were Grosse-Kempf interlocking nails) or an open method technique (most were open Küntscher nails with supplementary wires). The follow-up period was at least one year. There was an 82.9% (29/35) union rate and a union period of 6.1 +/- 1.9 months. Knee range of motion was on average 125 degrees. Although there was no statistical difference, the closed intramedullary nailing group showed superiority to the open method group. Complications were not particularly different from those in other type fractures, but could be managed better. Closed nailing technique can be improved with training and experience. Whenever possible, with adequate indications, closed intramedullary nailing is better than open treatment for segmental femoral shaft fractures.
在一项前瞻性研究中，35例股骨干节段性骨折采用闭合髓内钉（多数为Grosse-Kempf交锁髓内钉）或开放手术技术（多数为带辅助钢丝的开放Küntscher髓内钉）治疗。随访期至少1年。骨愈合率为82.9%（29/35），愈合时间为6.1±1.9个月。膝关节平均活动度为125度。虽然无统计学差异，但闭合髓内钉组优于开放手术组。并发症与其他类型骨折的并发症无显著差异，但处理效果更好。闭合穿钉技术可通过培训和经验得以改进。只要有充分的适应证，对于股骨干节段性骨折，闭合髓内钉固定优于开放治疗。
