Anastopoulos G, Assimakopoulos A, Exarchou E, Pantazopoulos T
2nd Orthopaedic Department, University of Athens K.A.T. Hospital, Greece.
Injury. 1992;23(7):439-41. doi: 10.1016/0020-1383(92)90058-z.
From October 1987 to September 1990, 32 patients with ipsilateral fractures of the femur and the tibia were treated. There were 20 men and 12 women with a mean age of 27 years (range 18-75 years). All were caused by road accidents. There were 7 femoral and 22 tibial open fractures. The management of the fractures was partially the same. The tibial fractures were reduced and stabilized by a unilateral external fixator, while in 29 out of 32 femoral fractures, a closed intramedullary nailing was performed. The remaining three patients with an open grade III fracture were initially treated by external fixation, with two of them converted into nailing. The time of hospitalization ranged from 12 to 105 days (mean 30 days). The femoral fractures healed in an average of 15.5 weeks, while the tibial fractures healed in 18.5 weeks. The evaluation of our results was made according to Karlstrom and Olerud's criteria. We achieved 81 per cent excellent or good results and 19 per cent acceptable or poor, in a follow-up time of 19.5 months.
1987年10月至1990年9月，对32例同侧股骨和胫骨骨折患者进行了治疗。其中男性20例，女性12例，平均年龄27岁（范围18 - 75岁）。所有骨折均由道路交通事故所致。有7例股骨开放性骨折和22例胫骨开放性骨折。骨折的处理部分相同。胫骨骨折采用单侧外固定器复位并固定，而32例股骨骨折中有29例进行了闭合髓内钉固定。其余3例Ⅲ度开放性骨折患者最初采用外固定治疗，其中2例后来改为髓内钉固定。住院时间为12至105天（平均30天）。股骨骨折平均15.5周愈合，胫骨骨折平均18.5周愈合。根据卡尔斯特伦（Karlstrom）和奥勒鲁德（Olerud）的标准对结果进行评估。在19.5个月的随访期内，我们获得了81%的优或良结果以及19%的可接受或差结果。
