UNASSIGNED: Bilateral femur @entity174 have been associated with frequent morbidity and mortality. Associated injuries and @entity548 contributed to mortality rates that were as high as 27% in previous reports. The goals of this study were to determine the frequency of associated complications, including mortality, and to identify which @entity1 and injury features are associated with increased morbidity and mortality. The authors proposed that some @entity1 with bilateral femur @entity174 may undergo early definitive fixation with an acceptable rate of complications. @entity1 who had bilateral femur @entity174 during the same injury event were retrospectively reviewed. Demographic characteristics, associated injuries, and the type and timing of treatment were determined. Complications were identified. The authors identified 50 @entity1 and 22 @entity1 , with a mean age of 41.5 years, who had high-energy bilateral femur @entity174 . These @entity1 accounted for 5.5% of all femur @entity174 treated at the authors' institution over a period of 11 years. Two @entity1 died before fixation. In addition, 13 other @entity1 (19%) had 21 complications, including @entity55 in 6 (8.6%) and @entity1150 in 7 (10%). No @entity1 had adult @entity649 , but 2 died of @entity881 . All @entity1 with @entity358 had an underlying @entity764 (P=.004). The overall mortality rate was 6.9%, and mortality was associated with higher mean age and higher Injury Severity Score (ISS). Of the 60 @entity1 who had definitive fixation within 24 hours of injury, 53 (88%) had no complications. Complication rates were similar to those reported in the literature, with a mortality rate of 6.9%, including 3 @entity1 who died after femoral fixation. Mortality was associated with advanced age and higher ISS. @entity764 were associated with @entity358 . Most @entity1 had early definitive fixation without complications, but it is not possible to predict which @entity1 may be safely treated on an early basis. [Orthopedics. 2015; 38(7):e588-e592.].

Morbidity and Mortality of XXXX .

@entity1 :: ('9606', 'Species') :: ['women', 'Patients', 'patients', 'patient', 'men'] @entity174 :: ('MESH:D050723', 'Disease') :: ['fractures'] @entity55 :: ('MESH:D011014', 'Disease') :: ['pneumonia'] @entity548 :: ('MESH:D006470', 'Disease') :: ['massive hemorrhage'] @entity649 :: ('MESH:D012128', 'Disease') :: ['respiratory distress syndrome'] @entity1150 :: ('MESH:D020246', 'Disease') :: ['deep venous thrombosis'] @entity358 :: ('MESH:D008171', 'Disease') :: ['pulmonary complications'] @entity764 :: ('MESH:D013898', 'Disease') :: ['Chest injuries', 'chest injury'] @entity881 :: ('MESH:D009102', 'Disease') :: ['multiple organ failure']
@entity174 :: (MESH:D050723,Disease) :: ['Bilateral Femur Fractures']
