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2
Prospective randomized controlled trial of an intramedullary nail versus dynamic screw and plate for intertrochanteric fractures of the femur.股骨转子间骨折髓内钉与动力髋螺钉钢板治疗的前瞻性随机对照试验
J Orthop Trauma. 2001 Aug;15(6):394-400. doi: 10.1097/00005131-200108000-00003.
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The standard Gamma nail: a critical analysis of 1,000 cases.标准伽马钉：对1000例病例的批判性分析。
J Trauma. 2001 Jul;51(1):77-83. doi: 10.1097/00005373-200107000-00012.
4
The long gamma nail: a DGH experience.长伽马钉：一家区级综合医院的经验
Injury. 2000 Nov;31(9):701-9. doi: 10.1016/s0020-1383(00)00089-9.
5
Intertrochanteric-subtrochanteric fractures: treatment with the long Gamma nail.转子间-转子下骨折：使用加长伽马钉治疗
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The long gamma nail in the treatment of 329 subtrochanteric fractures with major extension into the femoral shaft.长伽马钉治疗329例转子下骨折并向股骨干严重延伸的病例
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不稳定型股骨转子下骨折——伽马钉与动力髁螺钉的比较

Unstable subtrochanteric fractures--gamma nail versus dynamic condylar screw.

作者信息

Pakuts Andrés J

机构信息

Department of Orthopaedics, Coquimbo Regional Hospital, Av. El Santo 1475, La Serena, Chile.

出版信息

Int Orthop. 2004 Feb;28(1):21-4. doi: 10.1007/s00264-003-0497-y. Epub 2003 Aug 26.

DOI:10.1007/s00264-003-0497-y
PMID:12942196
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC3466581/
Abstract

We reviewed the operative treatment of subtrochanteric fractures. Before 1999, 15 fractures were treated with a dynamic condylar screw (DCS) and after 1999, 11 fractures were treated with a gamma nail (GN). The mean age of all patients was 70 (31-92) years, and the mean follow up was 16 (9-30) months for the DCS group and 14 (6-26) months for the GN group. All fractures united. There were no infections or implant cut out. In the DCS group, there was one malunion in varus and one late fracture of the implant. In the GN group, there was one malunion in internal rotation and three intraoperative fractures. Functional evaluation showed no significant differences in pain, range of movement, or walking ability, but recovery was significantly earlier in the GN group.

摘要

我们回顾了股骨转子下骨折的手术治疗情况。1999年以前，15例骨折采用动力髁螺钉（DCS）治疗，1999年以后，11例骨折采用伽马钉（GN）治疗。所有患者的平均年龄为70（31 - 92）岁，DCS组的平均随访时间为16（9 - 30）个月，GN组为14（6 - 26）个月。所有骨折均愈合。无感染或内固定物穿出情况。在DCS组，有1例内翻畸形愈合和1例内固定物晚期断裂。在GN组，有1例内旋畸形愈合和3例术中骨折。功能评估显示，在疼痛、活动范围或行走能力方面无显著差异，但GN组恢复明显更早。