Buckley J R, Caiach S M
University Department of Orthopaedic and Traumatic Surgery, Dundee Royal Infirmary, UK.
Injury. 1993 Aug;24(7):476-8. doi: 10.1016/0020-1383(93)90154-x.
External fixation of comminuted upper femoral fractures has not been studied widely. The minority of such fractures which cannot be fixed internally due to clinical and anatomical problems are generally treated in traction. Early external fixators were not sufficiently robust to hold these fractures and pin site problems are more common in femoral fixation than in the tibia. A study was undertaken including all patients with comminuted upper femoral fractures who were too unwell or otherwise unsuitable for internal fixation. The long-term results were comparable, if not superior to traction, and patient comfort and mobilization were much improved.
股骨上段粉碎性骨折的外固定尚未得到广泛研究。少数因临床和解剖问题无法进行内固定的此类骨折通常采用牵引治疗。早期的外固定器不够坚固，无法固定这些骨折，而且在股骨固定中，针道问题比胫骨固定中更常见。我们开展了一项研究，纳入了所有因病情过重或其他原因不适合进行内固定的股骨上段粉碎性骨折患者。长期结果即便不比牵引治疗更好，至少也是相当的，而且患者的舒适度和活动能力有了很大改善。
