Zhao Zhongquan, Chen Jiechao, Li Xuefu, Liu Lei, Wei Wei, Wang Guangzhong
Department of Orthopedics, Liaocheng Third People's Hospital, Liaocheng Shandong, 252000, P.R.China.
Department of Child Protection, Maternal and Child Health Care Hospital of Dongchangfu District, Liaocheng Shandong, 252000, P.R.China.
Zhongguo Xiu Fu Chong Jian Wai Ke Za Zhi. 2020 Apr 15;34(4):536-540. doi: 10.7507/1002-1892.201904001.
To summarize the application of distal fixated long stem in the treatment of intertrochanteric fracture (ITF) in the sequence of proximal femoral reconstruction, fixation materials, and other details after operation, in order to improve doctor's attention to the reconstruction of the proximal femur and reduce complications.
The related literature about the application of distal fixated long stem in the treatment of ITF was extensively reviewed, summarized, and analyzed.
The sequence of reconstruction is divided into fracture reconstruction priority and prosthesis reconstruction priority. The former is mainly to provide an anatomical reference for the placement of joint prostheses, the latter is mainly to provide support for fracture fixation. The distal fixated cement long stem and cementless long stem have their own characteristics, and materials of reconstruction are used in combination. There is no uniform standard for the sequence and materials of reconstruction.
Although the stability of the distal fixated long stem depends on the distal femur, the accurate reconstruction of the proximal femur is still worthy of attention.
从股骨近端重建顺序、固定材料及术后其他细节等方面总结远端固定长柄假体在股骨粗隆间骨折（ITF）治疗中的应用，以提高医生对股骨近端重建的重视并减少并发症。
广泛查阅、总结并分析关于远端固定长柄假体在ITF治疗中应用的相关文献。
重建顺序分为骨折重建优先和假体重建优先。前者主要为关节假体的置入提供解剖学参考，后者主要为骨折固定提供支撑。远端固定骨水泥长柄假体和非骨水泥长柄假体各有特点，重建材料联合使用。重建顺序和材料尚无统一标准。
尽管远端固定长柄假体的稳定性依赖于股骨远端，但股骨近端的精确重建仍值得关注。
