用于稳定型转子间骨折的低钉板固定及早期负重行走

Low nail-plate fixation and early weight-bearing ambulation for stable trochanteric fractures.

作者信息

Brink P R, Bolhuis R J, Runne W C, De Vries A C

出版信息

J Trauma. 1987 May;27(5):491-5. doi: 10.1097/00005373-198705000-00006.

DOI:10.1097/00005373-198705000-00006

Abstract

Reduction of stable (Evans I and II) trochanteric fractures of the hip is in general a simple procedure. Using a low (145 degrees-150 degrees) nail-plate fixation (McLaughlin) for this type of fracture, early weight-bearing ambulation can be obtained. In the period from 1 January 1978 through 1 May 1982 52 stable trochanteric fractures in 52 patients were treated by low nail-plate fixation. Within 1 week postoperatively, the patients started full weight-bearing ambulation. The functional result was good in 88.2%. Despite the average age of 77.9 years the hospital mortality rate was 1.9%. On the basis of the results mentioned above, it is concluded that the described treatment of stable trochanteric fractures can be considered reliable.

摘要

髋部稳定型（Evans I型和II型）转子间骨折的复位通常是一个简单的手术。对于这类骨折，使用低角度（145度 - 150度）钉板固定（麦克劳林氏法），可实现早期负重行走。在1978年1月1日至1982年5月1日期间，52例患者的52处稳定型转子间骨折采用低角度钉板固定治疗。术后1周内，患者开始完全负重行走。功能结果良好率为88.2%。尽管平均年龄为77.9岁，但医院死亡率为1.9%。基于上述结果，得出结论：所描述的稳定型转子间骨折治疗方法可被认为是可靠的。