Kohlmann H, Vécsei V, Neugebauer G, Gottsauner-Wolf F
I. Chirurgische Abteilung, Wilhelminenspital der Stadt Wien.
Wien Klin Wochenschr. 1987 Oct 9;99(19):677-82.
In trochanteric fractures of the femur, where operative techniques are preferable to conservative treatment, a change in the choice of implants has taken place over the past years. As several comparative studies show, the traditional system of nail/plate fixation has not been completely replaced by Ender nailing in many surgical departments. The system of nail/plate is, however, losing significance in face of the increasing usage of screwing-systems (such as, for instance, DHS of AO-Dynamic Hip Screw). The possibility of compression during the operation in screwing methods is the decisive factor.
在股骨转子间骨折中，手术治疗优于保守治疗，过去几年植入物的选择发生了变化。多项比较研究表明，在许多外科科室，传统的钉/板固定系统尚未完全被恩得尔髓内钉所取代。然而，面对螺钉系统（如AO动力髋螺钉DHS）使用的不断增加，钉/板系统的重要性正在下降。手术中采用螺钉固定方法时能够进行加压是决定性因素。
