Svenningsen S, Nesse O, Finsen V, Hole A, Benum P
Department of Orthopaedic Surgery, Trondheim University Hospital, Norway.
Ann Chir Gynaecol. 1987;76(3):163-6.
From January 1976 until August 1980, femoral fractures in our department were initially stabilized with tibial traction and fixed operatively after 4-7 days. From August 1980 the fractures were treated with immediate operative fixation. In this retrospective study, we compared the incidence of fat embolism syndrome in 106 patients treated with delayed operative fixation to the incidence in 114 patients treated with immediate operative fixation. Eleven patients (10.4%) developed fat embolism syndrome in the group treated with delayed fixation, compared with two patients (1.8%) in the immediate osteosynthesis group (p less than 0.02). We concluded that early operative fixation of femoral fractures seems beneficial for the prevention of fat embolism syndrome.
从1976年1月至1980年8月，我院科室的股骨骨折最初采用胫骨牵引固定，4至7天后进行手术固定。从1980年8月起，骨折采用立即手术固定治疗。在这项回顾性研究中，我们比较了106例接受延迟手术固定治疗的患者与114例接受立即手术固定治疗的患者脂肪栓塞综合征的发生率。延迟固定组有11例患者（10.4%）发生脂肪栓塞综合征，而即刻骨固定组有2例患者（1.8%）发生脂肪栓塞综合征（p<0.02）。我们得出结论，股骨骨折早期手术固定似乎有利于预防脂肪栓塞综合征。
