Department of Orthopedic Surgery, Kyung Hee University Hospital at Gangdong, Seoul, Korea.
Clin Orthop Surg. 2011 Sep;3(3):217-24. doi: 10.4055/cios.2011.3.3.217. Epub 2011 Aug 19.
This paper introduces a percutaneous reduction technique using one or two Steinman pin(s) to reduce sagittally unstable intertrochanteric fractures.
A fracture was defined as a sagittally unstable intertrochanteric fracture when posterior sagging of a distal fragment and flexion of the proximal fragment worsens after usual maneuvers for a closed reduction. Of 119 intertrochanteric fractures treated from June 2007 to December 2008, twenty-one hips showed sagittal instability. The sagittal displacement was reduced using a Steinmann pin as a joystick, and stabilized with a nail device. Nineteen hips were followed up for more than one year. The clinical and radiological results were reviewed in 19 hips and compared with those of the remaining cases.
The demographics were similar in both groups. The mean anesthetic time did not differ. Although the pre-injury and final activity levels were significantly lower in the study group, the degree of recovery was the same. No clinical complications related to this technique were encountered. Radiologically, the reduction was good in all hips in both groups. Union was obtained in all cases without any time differences.
This less invasive reduction technique is simple and safe to use for this type of difficult fracture.
本文介绍了一种经皮复位技术，使用一枚或两枚斯氏针（Steinman pin）来复位矢状面不稳定的股骨转子间骨折。
当常规闭合复位后，远折段向后下移位和近折段向前下成角加重时，定义为矢状面不稳定的股骨转子间骨折。2007 年 6 月至 2008 年 12 月，治疗了 119 例股骨转子间骨折，其中 21 髋表现为矢状面不稳定。使用斯氏针作为操纵杆来复位矢状面移位，并使用钉棒系统固定。19 髋获得了超过 1 年的随访。对 19 髋进行了临床和影像学结果回顾，并与其余病例进行了比较。
两组的人口统计学数据相似。麻醉时间无差异。虽然研究组的术前和最终活动水平显著较低，但恢复程度相同。没有发现与该技术相关的临床并发症。影像学上，两组所有髋的复位均良好。所有病例均无愈合时间差异。
对于这种类型的困难骨折，这种微创复位技术简单、安全。
