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Læknablaðið - 15.04.1986, Síða 41

Læknablaðið - 15.04.1986, Síða 41
LÆKNABLAÐIÐ 103 SUMMARY The results of a survey of 51 femoral shaft fractures treated by intramedullary Kiintscher-nailing between 1972 and 1982 are presented. Half of the patients were injured in motorcycle accidents and almost two-thirds had associated injuries. The overall results were excellent or good in 90% of the patients and complications were few. Because of the serious nature of the injury and complications arising from recumbency, early operation is recommended, closed intramedullary nailing being the procedure og choice. HEIMILDIR 1. Kiintscher G. Die Marknagelung von Knochen- briichen. Archiv fur clinische chirurgie 1940; 200: 443-55. 2. Watson-JonesR, Bonnin JG, KingTetal. Medullary neiling of fractures after fifty years. J Bone Joint Surg (Br) 1950; 32: 694-729. 3. Dencker H. Shaft fractures of the femur: acompara- tive study of verious methods of treatment in 1003 cases. Acta Chir Scand 1965; 430: 173-84. 4. Nichols PJR. Rehabilitation after fractures of the shaft of the femur. J Bone Joint Surg (Br) 1963; 45: 96-102. 5. Clawson DK, Smith RF, Hansen ST. Closed intra- medullary nailing of the femur. J Bone Joint Surg (Am) 1971; 53: 681-92. 6. Winquist RA, Hansen ST, Clawson DK. Closed intramedullary nailing of femural fractures. J Bone Joint Surg (Am) 1984; 66: 529-39. 7. Sarmiento A, Latta LL. Closed functional treatment of fractures. Berlin: Springer-Verlag, 1981:297-338. 8. Sage FP. The second decade of experience with the Kíintscher medullary nail in the femur. Clin Orthop 1968; 60: 77-85. 9. Rokkanen P, Slatis P, Vanka E. Closed or open intramedullary nailing of femural shaft fractures? A comparison with sonservatively treated cases. J Bone Joint Surg (Br) 1969; 51: 313-23. 10. MiillerME, AllgöwerM, Willen-Egger H. Manualof internal fixation. 2nd ed. New York: Springer, 1979. 11. Kempf I, Grosse A, Beck G. Closed locked intrame- dullary nailing: its application to comminuted fractures of the femur. J Bone Joint Surg (Am) 1985; 67: 709-20. 12. Wickstrom J, Corban MS, Vise GT. Complications following intramedullary fixation of 324 fractured femurs. Clin orthop 1968; 60: 103-9. 13. Kamdar BA, Arden GP. Intramedullary nailing for fractures of the femoral shaft. Injury 1975; 6: 7-12. 14. Böhler J. Closed intramedullary nailing of the femur. Clin Orthop 1968; 60: 51-67. 15. Rothwell AG, Fitzpatrick CB. Closed Kiinstscher nailing of femoral shaft fractures: a series of 100 consecutive patients. J Bone Joint Surg (Br) 1978; 60: 504-9.

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