Denton J R, McClelland S J
J Trauma. 1985 Nov;25(11):1074-8.
A series of 23 above-knee and below-knee amputees who sustained an ipsilateral lower extremity fracture was qualitatively evaluated with respect to the nature of the injuries sustained, associated problems, and results of fracture treatment. The overall incidence of these fractures was 3% in a population of lower-extremity amputees. The stump fractures encountered were distal femur fractures and fractures about the hip. More than one fourth of these fractures had an initially missed or 'delayed' diagnosis. Most femur fractures were successfully treated by nonoperative means, and most of the hip fractures were treated operatively. The final rehabilitated status of the dysvascular amputees was the poorest: one half of those who were previous household ambulators remained wheelchair confined postinjury.
对23例同侧下肢骨折的膝上和膝下截肢患者进行了定性评估，内容包括所受损伤的性质、相关问题以及骨折治疗结果。在下肢截肢患者群体中，这些骨折的总体发生率为3%。所遇到的残端骨折为股骨远端骨折和髋部骨折。超过四分之一的此类骨折最初被漏诊或“延迟”诊断。大多数股骨骨折通过非手术方法成功治疗，大多数髋部骨折采用手术治疗。血管性截肢患者的最终康复状况最差：之前能在家中行走的患者中有一半在受伤后仍需依靠轮椅行动。
