Hładki Waldemar, Bednarenko Marcin, Kotela Ireneusz
Klinika Medycyny Ratunkowej i Obrazeń, Wielonarzadowych II Katedry Chirurgii Ogólnej, Uniwersytetu Jagiellońskiego, Collegium Medium w Krakowie.
Przegl Lek. 2011;68(2):73-7.
Operational treatment of trochanteric fractures of the femur, independently of the applied connecting implant, carries the risk of various types of complications. In this paper the incidence of mechanical complications in performed osteosynthesis of trochanteric fractures of the femur was analyzed as well as the risk factors influencing them and their extent were assessed. The results showed statistically significant influence of the type of implant, the type of fracture and the patients' age. It has been proven that the use of Gamma nail decreases the risk of mechanical complications almost twofold in comparison with the Ender's posts, disregarding the type of trochanteric fracture of the femur.
股骨转子间骨折的手术治疗，无论采用何种连接植入物，都存在各种并发症的风险。本文分析了股骨转子间骨折内固定术中机械并发症的发生率，并评估了影响这些并发症的风险因素及其程度。结果显示，植入物类型、骨折类型和患者年龄具有统计学上的显著影响。已经证明，与Ender针相比，使用Gamma钉可使机械并发症的风险降低近两倍，而不考虑股骨转子间骨折的类型。
