Geissler W B, Savoie F H, Culpepper R D, Hughes J L
Dept. of Orthopaedic Surgery, University of Mississippi Medical Center, Jackson 39216-4505.
J Orthop Trauma. 1988;2(4):297-302. doi: 10.1097/00005131-198802040-00005.
Thirteen patients with ipsilateral hip and femoral shaft fractures are discussed. In nine patients, the femoral shaft fracture was managed by a combination of dynamic compression plating with a medial cancellous bone graft and either multiple cancellous screws or a dynamic hip screw for the proximal fracture (Group I). Four patients had Ender pin fixation (Group II). In Group I, both fractures were united within 16 weeks in all patients, and at least 90% of normal hip and knee motion was regained. Nonunions developed in two of the four Group II patients. Immediate separate fixation of ipsilateral hip and femoral shaft fractures allows definitive management of the proximal fracture and immediate mobilization without external support and provides satisfactory results with a low complication rate.
讨论了13例同侧髋部和股骨干骨折患者。9例患者中，股骨干骨折采用动力加压钢板结合内侧松质骨植骨以及多根松质骨螺钉或动力髋螺钉治疗近端骨折（I组）。4例患者采用Ender针固定（II组）。I组所有患者的两处骨折均在16周内愈合，至少恢复了90%的正常髋膝活动度。II组4例患者中有2例发生骨不连。同侧髋部和股骨干骨折的即刻分别固定可对近端骨折进行确定性治疗，并在无需外部支撑的情况下立即进行活动，且并发症发生率低，效果满意。
