Treatment of femur fracture with associated head injury

Journal of Orthopaedic Trauma
A J StarrJ Walker

Abstract

The aim of this study was to determine (a) whether delay in femur fracture stabilization beyond twenty-four hours in patients with head injury increased the risk of pulmonary complications and (b) whether immediate (up to twenty-four hours) femur fracture stabilization increased the risk of central nervous system (CNS) complications. Retrospective analysis. Thirty-two patients with femur fracture and head injury were identified. Fourteen underwent immediate stabilization of their fractures, and eighteen underwent delayed (four-teen patients) or no (four patients) stabilization of their fractures. In the immediate stabilization group, five patients had severe head injuries [Glasgow Coma Score (GCS) < or = 8] and nine had mild head injuries (GCS > 8). In the mild head injury group, no patient had a pulmonary complication and one had a CNS complication. In the severely head-injured group, one patient had a pulmonary complication and no patient had a CNS complication. In the delayed stabilization group, six patients had mild head injuries (GCS > 8) and twelve had severe head injuries (GCS < or = 8). In the mildly head injured group, one patient had a pulmonary complication, two patients had CNS complications, and one patient died. ...Continue Reading

References

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Citations

Aug 6, 2013·Annales Françaises D'anesthèsie Et De Rèanimation·S MrozekT Geeraerts
Jan 6, 2009·The Journal of Bone and Joint Surgery. American Volume·Saam MorshedJohn M Colford
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Jun 30, 2018·Journal of Orthopaedic Surgery and Research·Ayman El-MenyarRifat Latifi
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Dec 1, 2020·Journal of Orthopaedic Trauma·Jiong Hao TanGavin Kane O'Neill
Feb 26, 2004·Critical Care Clinics·Amer Mirza, Thomas Ellis

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