• Arch Orthop Trauma Surg · Jan 1992

    Comparative Study

    Treatment of femoral supracondylar unstable comminuted fractures. Comparisons between plating and Grosse-Kempf interlocking nailing techniques.

    • C C Wu and C H Shih.
    • Chang Gung Medical College, Department of Orthopedics, Chang Gung Memorial Hospital, Taoyuan, Taiwan, R.O.C.
    • Arch Orthop Trauma Surg. 1992 Jan 1; 111 (4): 232-6.

    AbstractA prospective study was done of 66 consecutive unstable comminuted supracondylar femoral fractures in adults, fixed with either plates (28 cases) or Grosse-Kempf interlocking nails (38 cases). Patients were followed up for at least 1 year (average 44 months). Interlocking nails led to a higher union rate and more satisfactory functional results. Nevertheless, the first distal transverse screw hole took a potential risk of breakage due to stress concentration. The authors conclude that for a cooperative patient, a closed static interlocking nail with strict non-weight-bearing should be the treatment of choice, and for an uncooperative patient, a closed static interlocking nail should be supplemented with a cast brace to reduce the complication rate.

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