三段股骨干骨折：一例报告
Triple-Segmental Shaft Femur Fracture: A Case Report.
作者信息
Lal Sankalp, Jha Amit Kumar, Agrawal Prabhanjan, Kumar Ashish, Jalan Divesh, Sharma Deepak
机构信息
Department of Orthopaedics, Sports Injury Centre, Vardhman Mahavir Medical College and Safdarjung Hospital, New Delhi, India.
Department of Orthopaedics, Central Institute of Orthopaedics, Vardhman Mahavir Medical College and Safdarjung Hospital, New Delhi, India.
出版信息
J Orthop Case Rep. 2025 Sep;15(9):149-153. doi: 10.13107/jocr.2025.v15.i09.6048.
INTRODUCTION
Segmental femur fractures, an uncommon injury pattern, are usually caused by high-energy trauma such as road traffic accidents. Despite their complexity, early intervention is essential for maximising recovery and reducing complications.
CASE REPORT
A 34-year-old male presented with multiple fractures, including a triple-segmental shaft femur fracture, following a high-energy road traffic accident. An intramedullary nail was used for closed reduction and internal fixation of the femur fracture, which provided stable fixation while preserving the blood supply and minimising soft-tissue damage.
CONCLUSION
When treating complicated femur fractures, intramedullary nailing should be preferred because it minimises soft-tissue damage while offering stable fixation. It promotes early mobilisation and optimal healing, even with multiple fracture segments.
引言
股骨节段性骨折是一种不常见的损伤模式，通常由道路交通事故等高能量创伤引起。尽管其情况复杂，但早期干预对于实现最大程度的恢复和减少并发症至关重要。
病例报告
一名34岁男性在发生高能量道路交通事故后出现多处骨折，包括股骨干三段骨折。采用髓内钉对股骨骨折进行闭合复位和内固定，该方法在保留血供并使软组织损伤最小化的同时提供了稳定的固定。
结论
在治疗复杂股骨骨折时，应优先选择髓内钉固定，因为它在提供稳定固定的同时能使软组织损伤最小化。即使存在多个骨折节段，它也能促进早期活动和最佳愈合。
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