Wu C C, Shih C H, Chen L H
Department of Orthopedic Surgery, Chang Gung Memorial Hospital, Chang Gung Medical College, Taiwan, Republic of China.
J Trauma. 1993 Jan;34(1):70-5. doi: 10.1097/00005373-199301000-00013.
A series of 16 consecutive adults with femoral shaft fractures complicated by fracture-dislocations of the ipsilateral hip joint was prospectively studied. There were 11 posterior dislocations and five central dislocations. The treatment consisted of early closed reduction of the dislocation with the assistance of an external fixator, delayed reamed intramedullary nailing of the femoral fracture, and conservative or surgical treatment of the hip joint according to the indications. The follow-up period was 2-8 years (median, 3.5 years). Although an 18.8% (3 of 16) complication rate was noted, the outcome was satisfactory for all 16 hip joints. When such complicated combined injuries are sustained, the technique described here is the most reasonable treatment.
对16例连续的股骨干骨折合并同侧髋关节骨折脱位的成年患者进行了前瞻性研究。其中有11例后脱位和5例中心脱位。治疗包括早期在外部固定器辅助下进行脱位的闭合复位、延迟对股骨干骨折进行扩髓髓内钉固定，以及根据指征对髋关节进行保守或手术治疗。随访期为2至8年（中位数为3.5年）。尽管观察到并发症发生率为18.8%（16例中有3例），但所有16个髋关节的结果均令人满意。当遭受此类复杂的复合伤时，本文所述技术是最合理的治疗方法。
