Edwards S A, Pandit H G, Clarke H J
Orthopaedic Department, Queen Alexandra Hospital, Portsmouth, PO6 3LY, Cosham, UK.
Injury. 2000 Nov;31(9):701-9. doi: 10.1016/s0020-1383(00)00089-9.
Subtrochanteric fractures constitute a difficult problem for the trauma surgeon. The long Gamma nail (LGN) represents an efficient technique in the management of these fractures. A retrospective analysis of 51 LGN with an average follow up of 16 weeks is presented. The average age of the patients was 72 years and the mean time to union was 11 weeks. The incidence of peroperative, early local and late local complications was 8, 8 and 4%, respectively or 20% in total. The thirty-day mortality was 8%. Our results in the use of the LGN have been good. Its introduction provides the trauma surgeon with a tool for allowing earlier mobilisation, decreasing operative time, surgical trauma, blood loss and wound problems. The LGN is a device by which most complex fractures in the proximal femur can be managed with a single implant.
转子下骨折对创伤外科医生来说是个难题。长伽马钉（LGN）是治疗这些骨折的一种有效技术。本文对51例使用LGN的病例进行回顾性分析，平均随访16周。患者平均年龄72岁，平均愈合时间为11周。术中、早期局部和晚期局部并发症的发生率分别为8%、8%和4%，总计20%。30天死亡率为8%。我们使用LGN的结果良好。它的应用为创伤外科医生提供了一种工具，可实现早期活动，减少手术时间、手术创伤、失血和伤口问题。LGN是一种可通过单一植入物处理大多数股骨近端复杂骨折的器械。
