Department of Orthopedic Surgery, Bucheon St. Mary's Hospital, The Catholic University of Korea, 327, Sosa-ro, Bucheon-si, Gyeonggi-do, 14647, Republic of Korea.
Department of Orthopedic Surgery, Bucheon St. Mary's Hospital, The Catholic University of Korea, 327, Sosa-ro, Bucheon-si, Gyeonggi-do, 14647, Republic of Korea.
Orthop Traumatol Surg Res. 2019 Feb;105(1):41-45. doi: 10.1016/j.otsr.2018.09.015. Epub 2018 Nov 9.
Stable fixation of the greater trochanter fracture fragments is necessary in arthroplasty of intertrochanteric hip fractures, as nonunion of the greater trochanter fracture comminution may result in impaired function or dysfunction of the abductor lever arm.
The ethibond suture technique is an efficient method for fixation of the greater trochanter fracture fragments.
A total of 47 cases were studied. The mean age of the patients was 80.6 years, and the minimum follow-up was 6 months. Radiologic evaluation was done by examination of greater trochanter healing and measurement of migration of the greater trochanter fragment. Functional evaluation was done by comparison of pre-injury and postoperative ambulation status.
The mean migration of the greater trochanter fragment with ethibond sutures was 5.98mm. Union was achieved in 76.6%, and the nonunion rate was 23.4%. 86.9% of patients had no difference in ambulation or had a difference of only 1 level by the Koval score after treatment compared to their pre-injury status.
The ethibond suture technique provides good fixation of the greater trochanter fragments in arthroplasty of intertrochanteric hip fractures.
IV, Case series.
在转子间骨折关节置换术中，需要稳定固定大转子骨折碎片，因为大转子骨折粉碎不愈合可能导致外展臂杠杆功能受损或丧失。
Ethibond 缝线技术是固定大转子骨折碎片的有效方法。
共研究了 47 例患者。患者的平均年龄为 80.6 岁，随访时间最短为 6 个月。通过检查大转子愈合情况和测量大转子骨折块迁移来进行影像学评估。通过比较术前和术后的步行状态来进行功能评估。
Ethibond 缝线固定的大转子骨折块平均迁移 5.98mm。愈合率为 76.6%，不愈合率为 23.4%。与术前相比，根据 Koval 评分，86.9%的患者在步行方面没有差异，或仅相差 1 级。
Ethibond 缝线技术在转子间骨折关节置换术中可提供良好的大转子骨折块固定。
IV，病例系列。
