Archives of Orthopaedic and Trauma Surgery

, Volume 111, Issue 4, pp 232–236 | Cite as

Treatment of femoral supracondylar unstable comminuted fractures

Comparisons between plating and Grosse-Kempf interlocking nailing techniques
  • Chi-Chuan Wu
  • Chun-Hsiung Shih
Clinical and Experimental Forum


A 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.


Public Health Complication Rate Potential Risk Functional Result Stress Concentration 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.


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Copyright information

© Springer-Verlag 1992

Authors and Affiliations

  • Chi-Chuan Wu
    • 1
  • Chun-Hsiung Shih
    • 1
  1. 1.Chang Gung Medical College, Department of OrthopedicsChang Gung Memorial HospitalKweishan, TaoyuanTaiwan, R.O.C.

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