Yelton C, Low W
J Bone Joint Surg Am. 1986 Oct;68(8):1237-40.
We studied the cases of four patients who sustained a fresh femoral subtrochanteric fracture during late removal of a Zickel nail that had been inserted for treatment of a fracture. The configuration of the intramedullary device appeared to be a significant factor in the production of the complication. Comminution of the proximal part of the femur (sufficient to require supplementary fixation with interfragmentary screws) and relative youth of the patient may increase the incidence of the complication.
我们研究了4例患者的病例，这些患者在为治疗骨折而插入的Zickel钉延迟取出期间发生了新鲜的股骨转子下骨折。髓内装置的形态似乎是导致该并发症的一个重要因素。股骨近端的粉碎（严重到需要用骨折块间螺钉进行补充固定）以及患者相对年轻可能会增加该并发症的发生率。
