Imhoff M, Gahr R, Sadr I
Unfallchirurgische Klinik, Städtischen Kliniken Dortmund.
Aktuelle Traumatol. 1988 Dec;18(6):265-7.
In 36 cases of medial fracture of the femoral neck percutaneous compression osteosynthesis by a specific traction-screw was carried out. During a 3-year follow up five femoral head necroses and three cases of non-union occurred. 28 patients showed good or excellent results. Comparison with results of AO-spongiosa screws and sliding-screw plate reveals no significant differences. Due to small additional operative trauma this percutaneous fixation technique is an appropriate alternative of osteosynthesis of medial fractures of the femoral neck, especially in polytraumatised patients and old patients with high operative risk.
对36例股骨颈内侧骨折患者采用特制牵引螺钉进行经皮加压骨合成术。在3年的随访期间，发生了5例股骨头坏死和3例骨不连。28例患者效果良好或极佳。与AO松质骨螺钉和滑动螺钉钢板的结果相比，无显著差异。由于额外的手术创伤小，这种经皮固定技术是股骨颈内侧骨折骨合成的一种合适替代方法，尤其适用于多发伤患者和手术风险高的老年患者。
