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股骨转子间骨折后短与长髓内钉的失效情况。

Failure of short versus long cephalomedullary nail after intertrochanteric fractures.

作者信息

Bovbjerg Pernille Engell, Larsen Morten Schultz, Madsen Carsten Fladmose, Schønnemann Jesper

机构信息

OPEN Odense Patient Data Explorative Network, Department of Orthopaedics and Traumatology, Hospital of Southern Denmark, Kresten Philipsensvej 15, 6200, Aabenraa, Denmark.

Department of Orthopaedics and Traumatology, Hospital of Southern Denmark, Denmark.

出版信息

J Orthop. 2019 Nov 6;18:209-212. doi: 10.1016/j.jor.2019.10.018. eCollection 2020 Mar-Apr.

Abstract

The aim of study is to examine the frequency of reoperation and difference in failures for short cephalomedullary nail (SN) and long cephalomedullary nail (LN).We included patients with an intertrochanteric fracture treated with Gamma nail (Stryker®). All radiographs were reviewed, TAD and diastasis were measured, and type of failure registered.216 patients were included, 95 short nails and 121 long nails. We found 12 reoperations, 5 in the SN group and 7 in the LN group. Most common failure was cut out. Our study showed no difference in frequency of reoperations or type of failures.

摘要

本研究的目的是检查短型股骨髓内钉(SN)和长型股骨髓内钉(LN)的再次手术频率及失败差异。我们纳入了使用伽马钉(史赛克公司生产)治疗的转子间骨折患者。对所有X线片进行了复查,测量了尖顶距(TAD)和骨间隙,并记录了失败类型。共纳入216例患者,其中95例使用短钉,121例使用长钉。我们发现有12例再次手术,SN组5例,LN组7例。最常见的失败类型是内固定物穿出。我们的研究表明,再次手术频率或失败类型没有差异。

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