TY  - JOUR
PY  - 1992//
TI  - Femur fractures in alpine skiers
JO  - Journal of Orthopaedic Trauma
A1  - Spezia, P.
A1  - Brennan, R.
A1  - Brugman, J. L.
A1  - Friermood, T. G.
SP  - 443
EP  - 447
VL  - 6
IS  - 4
N2  - From the years 1982 to 1989, 377 patients with alpine skiing-related injuries were admitted to St. Anthony's Hospital (a level one regional trauma center). Fifty femur fractures were recorded in 48 patients: 29 femoral shaft fractures (2 open), 15 hip fractures, and 6 supracondylar fractures (2 open). In the femoral shaft fracture group, the predominant fracture pattern was a short, transverse, comminuted fracture, illustrating the high kinetic energy of the accident. In this group, 11 patients returned to skiing, 7 of whom had hardware in place. Of the 10 Garden femoral neck fractures, 4 progressed to avascular necrosis. Three patients required press-fit total hip arthroplasties. Only 4 of these 10 patients returned to skiing. Median injury severity scores were 9.1 in 345 patients (94%), suggesting isolated trauma. Collisions with trees or poles accounted for 32% (15 patients) of all injuries. Follow-up data on return to skiing was available on 43 patients and of these 19 (44%) returned to skiing.<p /> <p>Language: en</p>
LA  - en
SN  - 0890-5339
UR  - http://dx.doi.org/
ID  - ref1
ER  -