Wondrák E, Holý A
Zentralbl Chir. 1977;102(2):69-75.
On the basis of an analysis of results gained from 153 operated femoral fractures the therapeutic possibilities under usual conditions in the majority of surgical departments are demonstrated. For the most part, the intramedullary nailing is made by the open method without drilling, sometimes with circular wiring, rarely urgently but some days later in a planned programme, after preparing the patient in an aseptic but rarely superaseptic theatre. 73.2% of the patients were controlled, 81.4% of them showing very good or good results. Disorders of vascularisation (2.6%), nail dislocations (1.96%), nail bending (3.26%), nail fractures (1.96%) andosteitis (3.26%) were analysed, timely reoperation for avoiding complications is recommended.
基于对153例股骨骨折手术结果的分析，展示了大多数外科科室在通常情况下的治疗可能性。在大多数情况下，髓内钉固定采用开放手术，不钻孔，有时采用环形钢丝固定，很少进行急诊手术，而是在有计划的程序中在几天后进行，在无菌但很少超无菌的手术室对患者进行准备。73.2%的患者得到了随访，其中81.4%的患者显示出非常好或良好的结果。对血管化障碍（2.6%）、髓内钉移位（1.96%）、髓内钉弯曲（3.26%）、髓内钉骨折（1.96%）和骨炎（3.26%）进行了分析，建议及时进行再次手术以避免并发症。
