Szalay M J, Hosking O R, Annear P
Royal Perth Hospital, Western Australia.
Injury. 1990 Nov;21(6):398-400. doi: 10.1016/0020-1383(90)90129-i.
A series of 110 patients with 114 fractures of the femur were reviewed an average of 3.9 years after injury. Demonstrable knee ligament laxity was present in 31 (27 per cent) of these patients, while 13 (11 per cent) complained of instability. Thirty-three patients with 34 ipsilateral femoral and tibial shaft fractures were examined an average of 3.7 years after injury. Demonstrable knee ligament laxity was present in 18 (53 per cent) of these patients, while 6 (18 per cent) complained of instability. Most of the patients with instability had a rupture of the anterior cruciate ligament with or without damage to other ligaments. We conclude that knee ligament injury is more common with ipsilateral fracture of the femur and tibia than with just a single ipsilateral femoral fracture. We advocate careful assessment of the knee in all cases of fracture of the femur.
对110例发生114处股骨骨折的患者进行了回顾性研究，平均随访时间为受伤后3.9年。其中31例（27%）患者存在明显的膝关节韧带松弛，13例（11%）主诉膝关节不稳。对33例发生34处同侧股骨干和胫骨干骨折的患者进行了检查，平均随访时间为受伤后3.7年。其中18例（53%）患者存在明显的膝关节韧带松弛，6例（18%）主诉膝关节不稳。大多数膝关节不稳的患者存在前交叉韧带断裂，伴或不伴有其他韧带损伤。我们得出结论，同侧股骨和胫骨骨折时膝关节韧带损伤比单纯同侧股骨骨折更常见。我们主张对所有股骨骨折病例都要仔细评估膝关节情况。
