Zhao Zhe, Song Fei, Zhu Jianjin, He Dawei, Deng Jiuzheng, Ji Xiaolin, Tang Peifu, Pan Yongwei
Department of Orthopaedics, Chinese PLA General Hospital, Beijing 100853, China; Orthopaedic Department of Beijing Tsinghua Changgung Hospital, Tsinghua University, Beijing 102218, China.
Orthopaedic Department of Beijing Tsinghua Changgung Hospital, Tsinghua University, Beijing 102218, China.
Injury. 2017 Oct;48(10):2354-2359. doi: 10.1016/j.injury.2017.08.025. Epub 2017 Aug 18.
The treatment of subtrochanteric fractures is a challenge for orthopaedic trauma surgeons. Three positions have been described previously: supine on a fracture table, supine on a flat radiolucent table, and the lateral decubitus position on a flat radiolucent table. Each one has its advantages and limitations. In this article we describe a prone position for intramedullary nailing of subtrochanteric femoral fractures. This position has the advantages including: 1) an easy approach to reduce and maintain the reduction of fracture by adjusting only the leg plate on injured side, 2) perfect intraoperation fluoroscopic imaging on both anteroposterior view and lateral view, and 3) an easy approach to establish an appropriate entry point even in obese patients.
股骨转子下骨折的治疗对骨科创伤外科医生来说是一项挑战。此前已描述过三种体位：骨折手术台上仰卧位、透光平板手术台上仰卧位以及透光平板手术台上侧卧位。每种体位都有其优缺点。在本文中，我们描述一种用于股骨转子下骨折髓内钉固定的俯卧位。该体位具有以下优点：1）仅通过调整患侧的腿板即可轻松实现骨折复位并维持复位状态；2）术中前后位和侧位透视成像效果完美；3）即使对于肥胖患者，也能轻松确定合适的进针点。
