Carr James B
University of South Carolina, Department of Orthopedic Trauma, Palmetto Health Richland Hospital, Columbia, SC, USA.
J Orthop Trauma. 2007 Aug;21(7):485-9. doi: 10.1097/BOT.0b013e31804797cf.
This article describes a simple method using anterior and medial bone contact of the distal shaft piece to obtain a stable reduction for displaced intertrochanteric fractures of the hip. The technique is based on the observation that the anterior pathoanatomy of the intertrochanteric hip fracture involves a noncomminuted fracture plane that can be placed into contact. This reestablishes a normal neck shaft angle and prevents excessive collapse of the fracture site. The maneuver is described in the context of the fracture pathoanatomy and the use of a fracture table.
本文描述了一种利用股骨干远端碎片的前侧和内侧骨接触来实现髋部移位型转子间骨折稳定复位的简单方法。该技术基于这样的观察结果：转子间髋部骨折的前路病理解剖结构涉及一个可以实现接触的无粉碎骨折平面。这重新建立了正常的颈干角，并防止骨折部位过度塌陷。该操作在骨折病理解剖结构和骨折手术台使用的背景下进行描述。
