股骨转子间骨折：股骨转子钉与动力髋螺钉治疗93例回顾分析
The trochanteric nail versus the sliding hip screw for intertrochanteric hip fractures: a review of 93 cases.
作者信息
Crawford Charles H, Malkani Arthur L, Cordray Scot, Roberts Craig S, Sligar William
机构信息
Department of Orthopaedic Surgery, University of Louisville School of Medicine, Louisville, Kentucky 40202, USA.
出版信息
J Trauma. 2006 Feb;60(2):325-8; discussion 328-9. doi: 10.1097/01.ta.0000197872.87439.f9.
BACKGROUND
The trochanteric nail, a redesigned short gamma nail, (Howmedica, Rutherford, NJ) was introduced in the United States during 1998 for the treatment of intertrochanteric fractures.
METHODS
We retrospectively reviewed 93 patients who were treated for an intertrochanteric fracture with either a sliding hip screw (SHS) or the short trochanteric nail (TN).
RESULTS
In all, 94% of the patients in the sliding hip screw group healed without complication. There was one case of femoral head necrosis, one lag screw cutout, and one hardware removal for pain. Eighty-nine percent of the patients in the trochanteric nail group healed without complication. There was one late fracture at the tip of the nail, three cases of lag screw cutout, and one nonunion.
CONCLUSIONS
This study suggests that the trochanteric nail is a reasonable alternative to the sliding hip screw when used for intertrochanteric fractures, although it may be associated with higher complication rates.
背景
股骨转子钉是一种重新设计的短伽马钉（豪美医疗公司，新泽西州卢瑟福），于1998年在美国推出，用于治疗股骨转子间骨折。
方法
我们回顾性分析了93例接受滑动髋螺钉（SHS）或短股骨转子钉（TN）治疗股骨转子间骨折的患者。
结果
总体而言，滑动髋螺钉组94%的患者愈合且无并发症。有1例股骨头坏死、1例拉力螺钉穿出、1例因疼痛取出内固定物。股骨转子钉组89%的患者愈合且无并发症。有1例钉子尖端延迟骨折、3例拉力螺钉穿出和1例骨不连。
结论
本研究表明，股骨转子钉用于治疗股骨转子间骨折时是滑动髋螺钉的合理替代方案，尽管其可能伴有更高的并发症发生率。
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