DeCoster Thomas A, Miller Richard A
Department of Orthopaedics and Rehabilitation, University of New Mexico, Health Sciences Center, Albuquerque, NM 87131-5296, USA.
Iowa Orthop J. 2003;23:43-5.
A review was performed of all patients over the age of 60 years who were treated with a locked intramedullary nail for a femoral shaft fracture. There were 15 patients with 16 femoral shaft fractures. Four patients died perioperatively. Of the surviving 11 patients with 12 fractures, union occurred in 100 percent. Knee range of motion was greater than 100 degrees in 11 of the 12 knees. Nine of the 11 patients returned to their preoperative level of ambulation. Intramedullary nailing of femoral shaft fractures in patients over the age of 60 years is an effective method of treatment. The mortality rate in elderly patients who sustain this injury is comparable to that seen after a femoral neck fracture in this age.
对所有60岁以上接受带锁髓内钉治疗股骨干骨折的患者进行了回顾性研究。共有15例患者，发生16个股骨干骨折。4例患者围手术期死亡。在存活的11例患者（共12处骨折）中，骨折均愈合。12个膝关节中有11个膝关节的活动范围大于100度。11例患者中有9例恢复到术前的行走水平。60岁以上患者股骨干骨折的髓内钉固定术是一种有效的治疗方法。该年龄段遭受此类损伤的老年患者的死亡率与股骨颈骨折后的死亡率相当。
