Wu C C, Shih C H
Department of Orthopedic Surgery, Chang Gung Memorial Hospital, Chang Gung Medical College, Taiwan, Republic of China.
J Trauma. 1993 Jan;34(1):76-81. doi: 10.1097/00005373-199301000-00014.
From December 1986 to December 1989, 23 consecutive adult patients with femoral shaft fractures associated with unstable pelvic fractures were prospectively studied. The mortality rate was 8.7%. An anterior frame of an external fixator was sometimes inserted emergently in patients with multiple injuries to improve their bedside care. Early reamed femoral intramedullary nailing accompanying closed or open reduction with internal fixation, external fixation or both for unstable pelvic fractures was the favored treatment method. Twenty cases were followed for an average of 26 months. The union rate was high (95%) and the complication rate was low (5%). Hip and knee joint function was also satisfactory. Combined femoral shaft and unstable pelvic fractures are severe injuries and necessitate aggressive emergent management. With the techniques described, patients can achieve optimal outcome.
1986年12月至1989年12月，对23例连续的股骨干骨折合并不稳定骨盆骨折的成年患者进行了前瞻性研究。死亡率为8.7%。对于多发伤患者，有时会紧急插入外固定器的前侧框架以改善其床边护理。早期扩髓股骨髓内钉联合闭合或切开复位内固定、外固定或两者结合治疗不稳定骨盆骨折是首选的治疗方法。20例患者平均随访26个月。愈合率高（95%），并发症发生率低（5%）。髋关节和膝关节功能也令人满意。股骨干合并不稳定骨盆骨折是严重损伤，需要积极的紧急处理。采用所述技术，患者可获得最佳治疗效果。
