Baird R A, Kreitenberg A, Eltorai I
Paraplegia. 1986 Jun;24(3):183-90. doi: 10.1038/sc.1986.25.
External fixation was used to treat femoral shaft fractures in nine spinal cord injury (SCI) patients. One patient died of unrelated causes during fracture treatment. Of the remaining eight patients, seven healed their fractures. Two complications, one superficial pin-track drainage and one fracture comminution, occurred in the nine patients. Neither complication adversely affected the patient's final result. In patients with acute spinal cord injury, external fixation should be considered for the treatment of closed femoral shaft fractures with marked comminution, and for open femoral shaft fractures with significant contamination or soft tissue loss. In the chronic SCI patient, external fixation of a femoral shaft fracture may increase the patient's level of independence and mobility during fracture healing, and may permit a more rapid return to the patient's pre-fracture functional level.
采用外固定治疗9例脊髓损伤（SCI）患者的股骨干骨折。1例患者在骨折治疗期间死于无关原因。其余8例患者中，7例骨折愈合。9例患者发生了2种并发症，1例表浅针道引流和1例骨折粉碎。两种并发症均未对患者的最终结果产生不利影响。对于急性脊髓损伤患者，对于伴有明显粉碎的闭合性股骨干骨折以及伴有严重污染或软组织缺损的开放性股骨干骨折，应考虑采用外固定治疗。对于慢性SCI患者，股骨干骨折的外固定可提高患者在骨折愈合期间的独立性和活动能力，并可能使患者更快恢复到骨折前的功能水平。
