Chevalley F, Vallotton J, Livio J J
Service d'orthopédie-traumatologie, CHUV, Lausanne.
Schweiz Med Wochenschr. 1990 Dec 1;120(48):1806-11.
During a two-year period 237 patients were admitted for intertrochanteric fracture of the femur. 196 patients were included in this study with an average age of 79 years. Surgery comprised 163 nailings (Ender-Kempf), 31 blade plates and 2 prostheses. In this study the mortality rate and general complications were essentially related to the age and general condition of the patient; the general complications did not differ between methods. Walking ability at 6 months chiefly depended on the patient's general condition before the fall. The techniques allowing immediate weight-bearing diminished the length of hospitalization. Reoperation was required in 4% of nailings and 6.5% of blade plates.
在两年时间里，有237例患者因股骨转子间骨折入院。本研究纳入了196例患者，平均年龄为79岁。手术方式包括163例髓内针固定（恩德尔-肯普夫法）、31例钢板固定和2例假体置换。在本研究中，死亡率和一般并发症主要与患者的年龄和一般状况有关；不同手术方法的一般并发症无差异。6个月时的行走能力主要取决于患者跌倒前的一般状况。允许早期负重的技术缩短了住院时间。髓内针固定组有4%的患者需要再次手术，钢板固定组为6.5%。
