Semenowicz J, Tomaszewski R, Widuchowski J, Mielnik M, Koczy B
I Oddziału Urazowo, Ortopedycznego Wojewódzkiego Szpitala Chirurgii Urazowej.
Chir Narzadow Ruchu Ortop Pol. 1997;62(6):511-6.
Forty-one femoral shaft fractures were treated with flexible Ender nails which were introduced through the great trochanter without reaming of the medullary canal. There was one case of intraoperative femoral neck fracture. No wound infection or osteomyelitis occurred. Axial and rotational malalignment was always due to technical errors. All fractures united at an average of 12 weeks. Transverse fractures, short oblique and those with "unicortical" comminution proved to be stable after Ender nailing, while cases with "bicortical" comminution had tendency for bone shortening and often required additional procedures.
41例股骨干骨折采用弹性髓内钉治疗，经大转子插入，不扩髓。术中发生1例股骨颈骨折。未发生伤口感染或骨髓炎。轴向和旋转畸形均由技术失误导致。所有骨折平均在12周时愈合。横行骨折、短斜行骨折以及“单皮质”粉碎性骨折在使用弹性髓内钉固定后显示稳定，而“双皮质”粉碎性骨折病例有骨短缩倾向，常需额外手术。
