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。
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.