Cherkes-Zade D I, Shesternia N A, Ospanov K T
Khirurgiia (Mosk). 1990 Sep(9):15-7.
The article deals with experience in the treatment of 45 elderly and senile patients with acetabular fractures of the femur by means of transosseous osteosynthesis. Besides treatment by G. A. Ilizarov's method, a special device elaborated in the Department of Transosseous Synthesis, the Central Institute of Traumatology and Orthopedics, was applied in 29 patients. With this, the design and the method of osteosynthesis are described. The method suggested by the authors for osteosynthesis of acetabular fractures of the femur by means of external transosseous osteosynthesis combines two factors which are important in traumatological practice: stable fixation of the fragments and mild character of the trauma inflicted by the operative intervention, which is significant in the treatment of feeble elderly and senile patients.
本文介绍了采用经皮骨内固定术治疗45例老年股骨髋臼骨折患者的经验。除了采用G.A.伊利扎罗夫方法治疗外,中央创伤与矫形外科学研究所经皮骨内固定科研发的一种特殊装置应用于29例患者。文中描述了该固定术的设计与方法。作者提出的经皮骨外固定术治疗股骨髋臼骨折的方法,结合了创伤骨科实践中的两个重要因素:骨折碎片的稳定固定以及手术干预造成的创伤较小,这对体弱的老年患者治疗意义重大。