Spezia P, Brennan R, Brugman J L, Friermood T G
Fitzsimons Army Medical Center, Aurora, CO 80045.
J Orthop Trauma. 1992;6(4):443-7. doi: 10.1097/00005131-199212000-00009.
From the years 1982 to 1989, 377 patients with alpine skiing-related injuries were admitted to St. Anthony's Hospital (a level one regional trauma center). Fifty femur fractures were recorded in 48 patients: 29 femoral shaft fractures (2 open), 15 hip fractures, and 6 supracondylar fractures (2 open). In the femoral shaft fracture group, the predominant fracture pattern was a short, transverse, comminuted fracture, illustrating the high kinetic energy of the accident. In this group, 11 patients returned to skiing, 7 of whom had hardware in place. Of the 10 Garden femoral neck fractures, 4 progressed to avascular necrosis. Three patients required press-fit total hip arthroplasties. Only 4 of these 10 patients returned to skiing. Median injury severity scores were 9.1 in 345 patients (94%), suggesting isolated trauma. Collisions with trees or poles accounted for 32% (15 patients) of all injuries. Follow-up data on return to skiing was available on 43 patients and of these 19 (44%) returned to skiing.
1982年至1989年期间，377名与高山滑雪相关受伤的患者被收治于圣安东尼医院（一级区域创伤中心）。48例患者共记录有50处股骨骨折：29处股骨干骨折（2处开放性骨折）、15处髋部骨折和6处髁上骨折（2处开放性骨折）。在股骨干骨折组中，主要骨折类型为短斜形粉碎性骨折，这表明事故具有高动能。该组中有11例患者恢复滑雪，其中7例体内有内固定装置。在10例Garden股骨颈骨折中，4例发展为股骨头缺血性坏死。3例患者需要进行压配式全髋关节置换术。这10例患者中只有4例恢复滑雪。345例患者（94%）的损伤严重程度评分中位数为9.1，提示为单纯性创伤。与树木或电线杆碰撞导致的损伤占所有损伤的32%（15例患者）。43例患者有恢复滑雪的随访数据，其中19例（44%）恢复滑雪。
