烧伤患者的股骨骨折:22 年病例系列

Capt Patrick M. Wise , Anastasiya Ivanko , Capt Wyatt D. Vander Voort , Mark A. Lee , Tina L. Palmieri
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引用次数: 0

摘要

本研究旨在报告我们护理股骨骨折烧伤患者的经验,并比较受伤 48 小时内和受伤 48 小时后接受内固定治疗的骨折效果。在17名烧伤患者中发现了20处股骨骨折。两名患者在骨折最终固定前死亡。在48小时内进行内固定的骨折中,60%(10人中有6人)的骨折可以预测愈合,44%的患者出现全身并发症。而在 48 小时后接受治疗的骨折中,只有 25%(8 例中有 2 例)的骨折达到了预期的愈合,所有患者都出现了严重的全身并发症。据我们所知,这是烧伤患者股骨骨折的最大系列报告,在该系列报告中,早期内固定与更有利的预后相关。
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Femur fractures in burn patients: A 22-year case series

The purpose of this study was to report our experience caring for burn patients with femur fractures and to compare outcomes of fractures treated with internal fixation within and after 48 h of injury. Twenty femur fractures were identified in the 17 burn patients. Two patients died prior to definitive fixation of their fractures. Of the fractures fixed internally within 48 h, 60% (6 out of 10) of fractures went on to predicted union and 44% of patients had systemic complications. Of the fractures treated after 48 h, only 25% (2 out of 8) went onto predicted union and all patients had significant systemic complications. To our knowledge, this is the largest series of femur fractures in burn patients reported, and in this series early internal fixation was associated with more favorable outcomes.

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CiteScore
1.20
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15 weeks
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