一项对44例使用长钉和环扎钢缆治疗的转子下骨折患者的研究。
A study of 44 patients with subtrochanteric fractures treated using long nail and cerclage cables.
作者信息
Persiani P, Noia G, de Cristo C, Graci J, Gurzì M D, Villani C
机构信息
Sapienza University of Rome, Umberto I Hospital, Piazzale Aldo Moro, 5, 00187, Rome, RM, Italy.
出版信息
Musculoskelet Surg. 2015 Dec;99(3):225-30. doi: 10.1007/s12306-015-0385-9. Epub 2015 Oct 29.
OBJECTIVE
This study aims to demonstrate that the use of long cephalomedullary nail and cerclage cables represents a good strategy in order to reduce the high risk of nonunion of the most displaced subtrochanteric fractures.
METHODS
This retrospective study examines 44 patients with average follow-up of 23 months, with subtrochanteric fracture type SH IIB, IIC, IIIA, IIIB treated by the same operator and with the same nail and cerclage cables. The clinical results which are derived from THRS have been reported.
RESULTS
Clinical and radiological consolidation occurred in all 44 cases, without re-intervention. The average evaluation derived from the THRS was 48 which corresponds to good, according to the scale.
CONCLUSIONS
Considering the anatomic reduction achieved in all patients and the clinical results, we can define the use of long cephalomedullary nail and cerclage cables as the most useful technique in the armamentarium of a trauma surgeon for the treatment of the subtrochanteric fractures.
目的
本研究旨在证明，使用长型股骨近端髓内钉和环扎钢丝是一种降低最严重移位的转子下骨折不愈合高风险的良好策略。
方法
本回顾性研究检查了44例患者，平均随访23个月，这些患者为转子下骨折SH IIB型、IIC型、IIIA型、IIIB型，由同一位手术医生使用相同的髓内钉和环扎钢丝进行治疗。报告了源自髋关节创伤后结果评分（THRS）的临床结果。
结果
44例患者均实现临床和影像学骨愈合，无需再次干预。根据该评分量表，源自THRS的平均评分为48分，属于良好。
结论
考虑到所有患者均实现了解剖复位以及临床结果，我们可以将长型股骨近端髓内钉和环扎钢丝的使用定义为创伤外科医生治疗转子下骨折的器械库中最有用的技术。
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