Kanakaris Nikolaos K, Tosounidis Theodoros H, Giannoudis Peter V
Academic Department of Trauma and Orthopaedics, Leeds Musculoskeletal Biomedical Research Unit (LMBRU), School of Medicine, University of Leeds, Leeds, United Kingdom.
J Orthop Trauma. 2015 Apr;29 Suppl 4:S10-6. doi: 10.1097/BOT.0000000000000286.
A large number of implants have been developed for intramedullary fixation of intertrochanteric fractures. This article attempts to summarize the contemporary understanding of the existing biomechanical and clinical evidence on intramedullary nailing of intertrochanteric fractures, as to whether they should be short or long nails, and the use or not of distal locking screws. Difficulties on the translation of biomechanical findings to the clinical setting, as well as the pressing demand for standardization of the indications and the use of different modes of cephalomedullary nailing, should direct orthopaedic trauma research toward focused, well-designed clinical studies.
Level V-expert opinion.
已经研发出大量用于股骨转子间骨折髓内固定的植入物。本文试图总结当前对股骨转子间骨折髓内钉固定的生物力学和临床证据的理解，包括应使用短钉还是长钉，以及是否使用远端锁定螺钉。将生物力学研究结果转化到临床应用中存在困难，以及对股骨近端髓内钉不同应用方式的适应症和使用进行标准化的迫切需求，应引导骨科创伤研究朝着有针对性的、设计良好的临床研究方向发展。
V级——专家意见。
