Unnanuntana Aasis, Goodman Stuart B
Department of Orthopaedic Surgery, Stanford University Medical Center, Stanford, CA 94035, USA.
Am J Orthop (Belle Mead NJ). 2008 Oct;37(10):506-9.
Malunited intertrochanteric fracture involves anatomical changes such as medialization of the femoral canal and intramedullary remodeling and sclerosis. These changes introduce difficulties that are not ordinarily encountered with routine total hip replacement. Possible intraoperative complications include spiral femoral fracture during hip dislocation and failure to identify the femoral canal. Therefore, recognizing the anatomical changes before and during surgery is crucial. In this article, we describe specific surgical steps and techniques by which these problems may be avoided, thus minimizing potential complications.
股骨转子间骨折不愈合涉及股骨管内移、髓内重塑和硬化等解剖学改变。这些改变带来了常规全髋关节置换术中通常不会遇到的困难。可能的术中并发症包括髋关节脱位时的股骨螺旋骨折以及未能识别股骨管。因此，在手术前和手术过程中识别解剖学改变至关重要。在本文中，我们描述了可以避免这些问题的具体手术步骤和技术，从而将潜在并发症降至最低。
