کد مقاله | کد نشریه | سال انتشار | مقاله انگلیسی | نسخه تمام متن |
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3240813 | 1206055 | 2009 | 4 صفحه PDF | دانلود رایگان |
![عکس صفحه اول مقاله: Bilateral femoral fractures: Does intramedullary nailing increase systemic complications and mortality rates? Bilateral femoral fractures: Does intramedullary nailing increase systemic complications and mortality rates?](/preview/png/3240813.png)
In order to evaluate the impact of simultaneous intramedullary nailing in patients with bilateral femoral fractures on systemic complications a comprehensive review of the literature was performed. Four studies reporting the results of 197 patients following trauma were analysed. The mean Injury Severity Score was 20.6 (range, 9–75). According to the data available, reamed intramedullary nailing was performed in 96% of the cases. The incidence of fat embolism was 4.1%, ARDS 14.6% and pulmonary embolism 6.9%. The overall mortality was 6%. The mean hospital stay was 17.9 days (range, 4–108). Bilateral femoral fractures have a high risk of complications and mortality. Damage control surgery should be considered in these cases where the clinician anticipates the development of systemic complications.
Journal: Injury - Volume 40, Issue 11, November 2009, Pages 1125–1128