同側股骨幹合併股骨頸骨折之治療

Management of Ipsilateral Femoral Shaft and Neck Fracture

楊崇光(Chong-Kuang Yang) ； 池啟瑞(Chi-Jui Chih) ； 蘇志堅(Chih-Chien Su) ； 魏寬毅(Kuan-Yih Wei)

《The Kaohsiung Journal of Medical Sciences》 13卷12期 (1997/12) Pp. 704-709

https://doi.org/10.6452/KJMS.199712.0704

摘要

本院自1987年10月至1993 年10月，6年期間共治療704例股骨幹骨折之病患，其中12例（2 %）為股骨幹合併股骨頸之骨折。病患年齡由17歲至58歲（平均38.2歲）。11 例為車禍受傷，1例為高處掉落受傷。大部分病患有合併傷害包括其它部位骨折、頭、胸及腹部外傷。治療方法5例使用Huckstep髓內釘固定，2例使用Kuntscher-nail加Knowles’pin，2例使用骨板加compression hip screw，2例使用骨板加Knowles’pin，l例使用Kuntscher-nail及牽引治療。1例於追蹤5個月後死亡，l 例於12個月後失去追蹤，其餘10例追蹤超過3年。結果有2例癒合位置不良，其他10例癒合良好。併發症有3例深部傷口感染，1例股骨頭缺血性壞死。

並列摘要

From Oct. 1987 to Oct. 1993, 704 patients with femoral shaft fracture were managed at our hospital. Among these, 12 patients were with combined femoral shaft and neck fracture (2%). The age ranged from 17 years to 58 years (average 38.2 years). Eleven patients were victims of traffic accidents and another 1 fell from a height. Most of them had associated injuries, including fractures elsewhere, head injury, chest and abdominal trauma. Five of them were treated with open reduction and internal fixation with Huckstep intramedullary nail, 2 with Kuntscher nail and Knowles’ pin, 2 with plate and compression hip screw, 2 with plate and Knowles’ pin and one patient was managed with Kuntscher nail and traction.
Ten patients were followed up for more than 3 years, and the other 2 lost follow-up at 5 months and 12 months. The fractures were all united with 2 malunions. Complications included 3 deep infections and one avascular necrosis.

並列關鍵字

ipsilateral femoral shaft ； neck fractures