Sprague Mark A, Yang Edward C
Department of Orthopaedic Surgery, The Mount Sinai Medical Center, New York, New York 10029, USA.
Bull Hosp Jt Dis. 2004;62(1-2):58-61.
The use of intramedullary rods is accepted as the gold standard for treatment of closed femur fractures. Early fixation of these fractures has been shown to be beneficial in the multiply-injured patient. This retrospective review was undertaken to examine the isolated femur fractures in an urban trauma center over a six-year period. Of the 76 patients included in the study, 42 underwent early fixation (less than 48 hours after injury) and 34 had delayed fixation (more than 48 hours after injury). There was no statistical difference in postoperative complications between the two groups. Fixation performed within 48 hours did not seem to decrease morbidity when compared to fixation performed after 48 hours. Length of stay and hospital costs were increased with delayed fixation.
使用髓内钉被公认为是治疗闭合性股骨骨折的金标准。对于多发伤患者，早期固定这些骨折已被证明是有益的。本回顾性研究旨在调查某城市创伤中心六年期间的单纯性股骨骨折情况。在纳入研究的76例患者中，42例接受了早期固定（受伤后不到48小时），34例接受了延迟固定（受伤后超过48小时）。两组术后并发症无统计学差异。与48小时后进行的固定相比，48小时内进行的固定似乎并未降低发病率。延迟固定会增加住院时间和住院费用。
