Ziv I, Rang M
J Bone Joint Surg Br. 1983 May;65(3):276-8. doi: 10.1302/0301-620X.65B3.6841395.
The outcome of various types of treatment for femoral fracture in children with head injury was studied retrospectively in 51 patients with 56 fractures. Of these, 36 patients (71 per cent) were in deep coma and scored 5 to 7 on the Glasgow scale. Forty-three children (84 per cent) were eventually able to walk freely. Open reduction and internal fixation proved an attractive solution for femoral fractures in children with head injury who could tolerate general anaesthesia: intramedullary nailing was safe and gave satisfactory results in 16 fractures but infection complicated three of the five fractures which were plated.
对51例患儿共56处股骨骨折进行回顾性研究，以观察头部受伤患儿接受各类股骨骨折治疗后的结果。其中，36例患儿（71%）处于深度昏迷状态，格拉斯哥昏迷评分在5至7分。43例患儿（84%）最终能够自由行走。对于能够耐受全身麻醉的头部受伤患儿的股骨骨折，切开复位内固定术被证明是一种不错的解决办法：16例骨折采用髓内钉固定安全且效果良好，但5例钢板固定的骨折中有3例发生感染并发症。
