Raunest J, Kaschner A, Derra E
Abteilung für Allgemeine und Unfallchirurgie, Chirurgische Universitätsklinik Düsseldorf.
Aktuelle Traumatol. 1991 Feb;21(1):16-9.
The postoperative course of 138 patients with a pertrochanteric fracture treated by nailing according to Ender is analysed with regard to the operative morbidity and lethality. As secondary factors associated with morbidity the specific and unspecific rate of complications, the lethality, the perioperative loss of blood and the duration of postoperative hospitalisation are evaluated. Specific complications occurred in 27%, unspecific complications in 50%, and the rate of hospital mortality was 15.2%, 60.9% of patients required a postoperative transfusion to compensate the perioperative blood loss. In contrast to other authors we cannot regard Ender nail osteosynthesis as a lowrisk procedure with a low operative morbidity. When choosing the treatment procedure alternative methods of stabilisation should be taken into account. An intensive postoperative care is of utmost importance in elderly patients.
对138例采用恩德勒（Ender）钉固定治疗的转子间骨折患者的术后病程进行了分析，评估了手术的发病率和死亡率。作为与发病相关的次要因素，对并发症的特异性和非特异性发生率、死亡率、围手术期失血量以及术后住院时间进行了评估。特异性并发症发生率为27%，非特异性并发症发生率为50%，医院死亡率为15.2%，60.9%的患者术后需要输血以补偿围手术期失血。与其他作者不同，我们不能将恩德勒钉内固定视为一种手术发病率低的低风险手术。在选择治疗方法时，应考虑其他稳定方法。强化的术后护理对老年患者至关重要。
