Villar R N, Allen S M, Barnes S J
Br Med J (Clin Res Ed). 1986 Nov 8;293(6556):1203-4. doi: 10.1136/bmj.293.6556.1203.
One hundred and forty five women who had undergone hemiarthroplasty for a subcapital fracture of the femoral neck but who were otherwise fit were studied to determine whether undue delay between injury and operation influenced their social circumstances three months after surgery. The median delay for those patients who showed good rehabilitation at three months was 29 hours, but for those who showed poor rehabilitation it was 57 hours. This difference was significant. It is suggested that a subcapital fracture in an otherwise fit elderly patient should therefore be regarded as a surgical emergency.
对145名因股骨颈头下型骨折接受半关节置换术且身体状况良好的女性进行了研究，以确定受伤与手术之间的过度延迟是否会影响她们术后三个月的社会状况。术后三个月康复良好的患者中位延迟时间为29小时，而康复不佳的患者为57小时。这种差异具有统计学意义。因此，建议对于身体状况良好的老年患者，股骨颈头下型骨折应被视为外科急症。
