IPSILATERAL FRACTURES OF THE FEMUR AND TIBIA

被引：23

作者：

ANASTOPOULOS, G ^{[1
]}

ASSIMAKOPOULOS, A ^{[1
]}

EXARCHOU, E ^{[1
]}

PANTAZOPOULOS, T ^{[1
]}

机构：

[1] GEN HOSP ATHENS,DEPT ORTHOPAED 2,ATHENS,GREECE

来源：

INJURY-INTERNATIONAL JOURNAL OF THE CARE OF THE INJURED | 1992年 / 23卷 / 07期

关键词：

D O I：

10.1016/0020-1383(92)90058-Z

中图分类号：

R4 [临床医学];

学科分类号：

1002 ; 100602 ;

摘要：

From October 1987 to September 1990, 32 patients with ipsilateral fractures of the femur and the tibia were treated. There were 20 men and 12 women with a mean age of 27 years (range 18-75 years). All were caused by road accidents. There were 7 femoral and 22 tibial open fractures. The management of the fractures was partially the same. The tibial fractures were reduced and stabilized by a unilateral external fixator, while in 29 out of 32 femoral fractures, a closed intramedullary nailing was performed. The remaining three patients with an open grade III fracture were initially treated by external fixation, with two of them converted into nailing. The time of hospitalization ranged from 12 to 105 days (mean 30 days). The femoral fractures healed in an average of 15.5 weeks, while the tibial fractures healed in 18.5 weeks. The evaluation of our results was made according to Karlstrom and Olerud's criteria. We achieved 81 per cent excellent or good results and 19 per cent acceptable or poor, in a follow-up time of 19.5 months.

引用

页码：439 / 441

页数：3

共 18 条

[1]

Browner, Kenzora, Edwards, The use of modified Neufeld traction in the management of femoral fractures in polytrauma, J. Trauma, 21, (1981)

[2]

Burny, Elastic external fixation of tibial fractures. Study of 1421 cases, External Fixation. The Current State of the Art, (1979)

[3]

Delee, Ipsilateral fracture of the femur and tibia treated in a quadrilateral cast brace., Clin Orthop Relat Res, 142, (1979)

[4]

Edwards, Management of the polytrauma patient in a major U.S. center, External Fixation. The Current State of the Art, (1979)

[5]

Edwards, Management of multi-segment injuries in the polytrauma patient, Advances in External fixation, (1980)

[6]

Fraser, Hunter, Wadell, Ipsilateral fracture of the femur and tibia, J. Bone Joint Surg., 60 B, (1978)

[7]

Gustilo, Anderson, Prevention of infection in the treatment of one thousand twenty-five fractures of long bones, J. Bone Joint Surg., 58 A, (1976)

[8]

Hojer, Gillquist, Liljedahl, Et al., Combined fractures of femoral and tibial shafts in the same limb, Injury, 8, (1977)

[9]

Jorgensen, Closed tibial fractures, Advances in External Fixation, (1980)

[10]

Karlstrom, Olerud, Fractures of the tibial shaft. A critical evaluation of treatment alternatives, Clin. Orthop., 105, (1974)

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