Altherr Dominik, Ruffing Thomas, Schmitz Katrin, Meier Reinhard, Dahm Manfred, Hofmann Alexander
Department of Orthopedics and Traumatology, Westpfalz-Clinics, Hellmut-Hartert-Str. 1, 67655, Kaiserslautern, Germany.
Department of Radiology, Westpfalz-Clinics, Kaiserslautern, Germany.
Eur J Trauma Emerg Surg. 2023 Apr;49(2):885-891. doi: 10.1007/s00068-022-02143-2. Epub 2022 Nov 4.
Complications associated with secondary displacement and migration of the lesser trochanter fragment in trochanteric fractures are rare. The complaints expressed by the patient may be misunderstood and attributed to implant-associated or patient-specific problems likely to occur after surgery. This series illustrates potentially dangerous late complications caused by secondary migration of the lesser trochanter. It may help focus the surgeon's attention on possible functional impairment and severe late complications caused by displacement of the lesser trochanter in trochanteric fractures that require prompt intervention.
股骨转子间骨折中与小转子骨折块继发性移位和迁移相关的并发症很少见。患者所表达的主诉可能会被误解,并归因于术后可能出现的植入物相关问题或患者个体问题。本系列病例阐述了由小转子继发性迁移引起的潜在危险的晚期并发症。它可能有助于使外科医生将注意力集中于股骨转子间骨折中小转子移位所导致的可能的功能损害和严重晚期并发症,而这些并发症需要及时干预。