Nungu S, Olerud C, Rehnberg L
Department of Orthopaedics, University Hospital, Uppsala, Sweden.
J Orthop Trauma. 1991;5(4):452-7.
The results of two fixation devices for the treatment of intertrochanteric fractures were compared in 220 patients--163 women and 57 men with a mean age of 81 +/- 10 years. One hundred and one patients were randomized to Ender nailing and 119 to fixation with a sliding screw plate (SSP). The two treatment groups were equal with respect to important preinjury variables. The two methods did not differ in operating time or perioperative blood loss. The proportions of good reduction of the fractures and of good positioning of the internal fixation devices were equal in the two groups. But the complication rate and the reoperation rate were more than twice as high in the Ender group than in the SSP group. The outcome at 1-year follow-up was approximately equal in the two groups.
对220例患者（163名女性和57名男性，平均年龄81±10岁）使用两种固定装置治疗转子间骨折的结果进行了比较。101例患者随机接受恩德勒髓内钉固定，119例患者接受滑动螺钉钢板（SSP）固定。两个治疗组在重要的伤前变量方面相当。两种方法在手术时间或围手术期失血量方面没有差异。两组骨折良好复位和内固定装置良好定位的比例相同。但恩德勒组的并发症发生率和再次手术率是SSP组的两倍多。两组1年随访结果大致相同。
