Edwards S A, Pandit H G, Clarke H J
Queen Alexandra Hospital, Portsmouth, UK.
Injury. 2001 May;32(4):299-306. doi: 10.1016/s0020-1383(00)00218-7.
The subtrochanteric region of the femur accounts for one-third of all pathological fractures requiring surgical intervention. The large forces occurring in this region and the possible non-occurrence of bony consolidation constitute a difficult problem to the trauma surgeon. The medical records and X-rays of 25 consecutive patients treated with the long gamma nail (LGN) for pathological (impending or existing) fractures of the femur were analysed retrospectively. Our results in the use of the LGN for pathological fractures of the femur have been good. We recommend an aggressive approach to the early stabilisation of impending fractures and the use of distal locking.
股骨转子下区域占所有需要手术干预的病理性骨折的三分之一。该区域出现的巨大力量以及可能无法实现骨愈合，给创伤外科医生带来了难题。对连续25例使用长伽马钉（LGN）治疗股骨病理性（即将发生或已存在）骨折患者的病历和X线片进行了回顾性分析。我们使用LGN治疗股骨病理性骨折的结果良好。我们建议对即将发生的骨折采取积极的早期稳定措施，并使用远端锁定。
