Veith R G, Winquist R A, Hansen S T
J Bone Joint Surg Am. 1984 Sep;66(7):991-1002.
We treated fifty-seven consecutive ipsilateral fractures of the femur and tibia in fifty-four adults from 1968 through 1978. Twenty-one patients had concomitant life-threatening injuries, and in thirty-three extremities the fractures were open. All but one of the femoral fractures and about half of the tibial fractures were internally fixed. The length of hospitalization averaged five weeks. Local complications included one below-the-knee amputation, three deep infections, and four ununited fractures. A fat embolism syndrome was diagnosed in 13 per cent of the patients. At the last follow-up examination, at an average of 40.5 months after injury, the mean range of motion of the knee was 129 degrees. Over-all, a good or excellent functional result was achieved in about 80 per cent of the patients. The best results were achieved when both fractures were stabilized surgically.
1968年至1978年间，我们对54名成年人的57例连续性同侧股骨和胫骨骨折进行了治疗。21例患者伴有危及生命的损伤，33处肢体骨折为开放性骨折。除1例股骨骨折外，其余所有股骨骨折及约一半的胫骨骨折均采用内固定治疗。平均住院时间为5周。局部并发症包括1例膝下截肢、3例深部感染和4例骨折不愈合。13%的患者被诊断为脂肪栓塞综合征。在最后一次随访检查时，平均受伤后40.5个月，膝关节的平均活动范围为129度。总体而言，约80%的患者获得了良好或优异的功能结果。当两处骨折均通过手术稳定固定时，效果最佳。
