快速股内钉治疗伴血管损伤骨折的血管修复：附四例

IF 2 3区医学 Q3 CRITICAL CARE MEDICINE

Injury-International Journal of the Care of the Injured Pub Date : 2025-07-16 DOI:10.1016/j.injury.2025.112613

Austin M. Cronen , Richard L. Auran , Jeromy S. Brink , Michael D. McKee

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引用次数: 0

摘要

股骨头骨折合并血管损伤需要肢体血运重建，虽然罕见，但却是一种危及肢体的疾病。从历史上看，紧急外固定股骨骨折后血管修复一直被认为是标准的护理。我们讨论了4例股骨骨折合并血管损伤，可采用快速髓内钉（IMN）固定，然后进行肢体血运重建术。我们将讨论该技术的时间线和持续时间。结论快速股骨内固定术在肢体血运重建术前具有多种临床优势，已成为治疗此类损伤的标准方案。

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查看原文本刊更多论文

Expeditious femoral nailing prior to vascular repair in fractures associated with vascular injury: A series of four cases

Case

Femoral shaft fractures with concomitant vascular injury requiring limb revascularization, although rare, are a limb-threatening condition. Historically, emergent external fixation of the femur fracture followed by vascular repair has been considered the standard of care. We discuss four cases of femoral fracture with an associated vascular injury amenable to nail fixation stabilized by expeditious intramedullary nailing (IMN), followed by limb revascularization. We discuss the timeline and duration of the procedure for this technique.

Conclusion

Expeditious femoral IMN prior to limb revascularization has multiple clinical advantages and has become our standard protocol for these injuries.

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来源期刊

Injury-International Journal of the Care of the Injured 医学-急救医学

CiteScore

4.00

自引率

8.00%

发文量

699

审稿时长

96 days

期刊介绍： Injury was founded in 1969 and is an international journal dealing with all aspects of trauma care and accident surgery. Our primary aim is to facilitate the exchange of ideas, techniques and information among all members of the trauma team.