Wardlaw D
J Bone Joint Surg Br. 1977 Nov;59-B(4):411-6. doi: 10.1302/0301-620X.59B4.925051.
Ninety-eight fractures of the shaft of the femur were seen in one unit over the two years 1974 and 1975, and the results have been assessed in sixty-nine. Of these, thirty-eight were treated by skeletal traction in a Thomas's splint followed by skin traction, and thirty-one by skeletal traction followed by a cast-brace. The technique of application is described in some detail. The average time for application of the cast-brace was six weeks after the injury, the time in hospital eight weeks and the time till removal fifteen weeks. The patients selected for a cast-brace were in hospital for just over half the time of the others and their fractures on average united more quickly, though with some trouble from angulation of fractures of the uppermost third of the shaft. It is concluded that when used with all the judgment and skill it demands, the cast-brace method is a great advance in conservative treatment.
在1974年至1975年的两年间，某科室共收治了98例股骨干骨折患者，其中69例的治疗结果得到了评估。这些患者中，38例采用托马斯夹板骨牵引，随后进行皮肤牵引治疗；31例采用骨牵引，随后使用石膏支具治疗。文中详细描述了治疗技术的应用。石膏支具的平均应用时间为伤后6周，住院时间为8周，直至拆除的时间为15周。选择使用石膏支具治疗的患者住院时间仅为其他患者的一半多一点，其骨折平均愈合得更快，不过股骨干最上三分之一段骨折存在一些成角问题。得出的结论是，当运用其所需的所有判断力和技巧时，石膏支具治疗法是保守治疗方面的一大进步。
