Ovadia D N, Chess J L
Department of Orthopaedic Surgery, Henry Ford Hospital, Detroit, Michigan 48202.
J Bone Joint Surg Am. 1988 Feb;70(2):239-43.
Twelve patients, whose ages ranged from twenty-one to sixty-eight years (mean, 32.6 years) and in whom a Zickel nail had been used to treat an acute traumatic subtrochanteric fracture of the femur, had fourteen subtrochanteric refractures that were associated with removal of the nail. The refracture was always different from the original fracture in type and site (being located an average of 4.3 centimeters distal to the lesser trochanter). Five of the refractures were recognized intraoperatively at the time of removal of the nail. Because of this potential complication, we believe that the Zickel nail should not be used in the treatment of subtrochanteric fractures of the femur in young patients.
12例年龄在21岁至68岁之间（平均32.6岁）的患者，曾使用Zickel钉治疗股骨急性创伤性转子下骨折，其中有14例转子下再骨折与取出内固定钉有关。再骨折在类型和部位上总是与原骨折不同（平均位于小转子远侧4.3厘米处）。5例再骨折是在取出内固定钉时术中发现的。鉴于这种潜在并发症，我们认为Zickel钉不应应用于年轻患者股骨转子下骨折的治疗。
