Treatment of Combined Femoral Fracture.

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  • 大腿骨複合骨折の治療経験

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Abstract

The combined femoral fracture defined as occurring simultaneously in two or more parts in neck, shaft or condyle of femur is rather uncommon. We reviewed results of fourteen patients with combined femoral fracture from 1985.<br>There were seven men and seven women with an average age of 46.3 years (range, 30∼68 years old). The average follow-up period was 18.6 months (range, 10∼36 months). All patients were injured in traffic accidents. Based of the Aoyagi's classification, one of the fractures was GIa, five were GIb, four were GIIa, three were GIIb, and one was GIV.<br>All patients had associated injuries. There were seven patella fractures, seven ipsilateral fractures. Major nonorthopaedic injuries occurred in nine patients.<br>All patients treated with a variety of operative stabilization methods, and union was achieved in all cases. The functional evaluations based on Karlström's criteria were rated as follows; 2 cases excellent, 3 good, 5 fair and 4 poor.<br>Our results suggest it important to perform static fixation and early ROM exercise.

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