Pahud B, Vasey H
J Bone Joint Surg Br. 1987 May;69(3):391-4. doi: 10.1302/0301-620X.69B3.3584191.
We have reviewed 402 traumatic fractures of the femoral shaft, 320 of which had been treated by operation and had a long follow-up. Of these, 228 closed fractures and 37 open fractures had been stabilised by plating. There was no significant difference in healing between those stabilised early and those having delayed internal fixation. Re-fracture after removal of the implant occurred more often after early operation. All 55 fractures treated by intramedullary nailing healed and there were no re-fractures after nail removal. We found no correlation between delay before operation and the incidence of postoperative infection.
我们回顾了402例股骨干创伤性骨折，其中320例接受了手术治疗并进行了长期随访。在这些病例中，228例闭合性骨折和37例开放性骨折通过钢板固定得以稳定。早期固定者与延迟内固定者在愈合方面无显著差异。早期手术后取出内固定物后再骨折的发生率更高。所有55例采用髓内钉治疗的骨折均愈合，取出髓内钉后未发生再骨折。我们发现手术前的延迟时间与术后感染发生率之间无相关性。
