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首页> 外文期刊>Journal of investigative surgery: The official journal of the Academy of Surgical Research >Interlocking Intramedullary Nailing Versus Locked Dual-Plating Fixation for Femoral Shaft Fractures in Patients with Multiple Injuries: A Retrospective Comparative Study
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Interlocking Intramedullary Nailing Versus Locked Dual-Plating Fixation for Femoral Shaft Fractures in Patients with Multiple Injuries: A Retrospective Comparative Study

机译：多次损伤患者互锁髓内钉与锁定双电镀固定的股骨轴骨折：回顾性比较研究

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Purpose: Intramedullary nailing (IMN) is a popular method in the management of femoral shaft fractures (FSFs). However, whether the association of IMN with pulmonary fat emboli can compromise the pulmonary and nervous systems is debatable. The purpose of this study is to compare IMN with the locked dual plating (LDP) method by assessing the clinical outcomes of FSF patients with head or chest injury. Method: A total of 126 FSF patients were included in this study between January 2010 and July 2016 and divided into LDP and IMN groups. Patient demographic characteristics, operative time, blood loss, Harris Hip Score, Lysholm Knee Score, radiological outcomes, and systemic complications were collected and compared between the two treatment groups. Patients were followed up for at least 12 months. Results: The LDP group performed better than IMN in terms of operative time, estimated blood loss amount, and malunion rate. Differences in function scores, fracture union rate, overall pulmonary complication rate, and in-hospital mortality between the two groups were not significant. Average radiographic union time was significantly longer in the LDP group (36.3 weeks) than in the IMN group (32.5 weeks). One case of fixation failure occurred postoperatively in the LDP group, whereas one case of fracture nonunion took place in the IMN group. Conclusion: Our findings suggest that dual-plating fixation is a promising method for FSFs with multiple injuries. However, the retrospective nature of this study necessitates high-quality trials to be performed to assess the clinical efficiency of dual plating.
机译：目的：髓内钉（IMN）是股骨轴骨折（FSFS）管理中的一种流行方法。然而，IMN与肺部脂肪栓塞的关联是否可以损害肺部和神经系统是难题的。本研究的目的是通过评估头部或胸部损伤的FSF患者的临床结果，将IMN与锁定的双电镀（LDP）方法进行比较。方法：2010年1月至2016年7月在本研究中纳入了126例FSF患者，并分为LDP和IMN组。收集患者人口统计特征，手术时间，血液损失，哈里斯臀部评分，Lysholm膝关节，放射性结果和全身并发症，并在两种治疗组之间进行比较。患者持续至少12个月。结果：LDP组在手术时间，估计损伤量和羊胎率方面比IMN更好。两组之间的功能评分，骨折率，总肺并发症率和住院内死亡率的差异并不重要。 LDP组（36.3周）比IMN组（32.5周）在LDP组（36.3周）中的平均射线照相愈合时间明显更长。在LDP组中术后一例固定发生故障，而IMN组发生了一种骨折不平台的情况。结论：我们的研究结果表明，双电镀固定是具有多重损伤的FSF的有希望的方法。然而，本研究的回顾性质需要进行高质量的试验，以评估双电镀的临床效率。

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