Early versus delayed stabilization of femoral fractures. A prospective randomized study.

摘要: A prospective randomized study comparing the results of early with delayed reduction and stabilization acute femoral fractures in adults was performed over a two-year period 178 patients. Only patients who were more than sixty-five years old had fracture hip excluded. Arterial blood gases, injury-severity score at time admission, pulmonary function, days hospital, intensive-care unit, hospital costs recorded for all The divided into two groups: those an isolated femur multiple injuries. When injuries, incidence complications (adult respiratory-distress syndrome, fat embolism, pneumonia) higher, stay longer, number unit increased. cost care showed statistically significant increase treatment compared stabilization.