Skinner P W, Powles D
J Bone Joint Surg Br. 1986 Jan;68(1):78-82. doi: 10.1302/0301-620X.68B1.3941145.
We report a prospective study of 198 cases of subcapital fracture of the femur treated by closed reduction and fixation with a sliding compression screw-plate. This was done without regard to the patient's age or the Garden stage of the fracture. Early weight-bearing was encouraged. Of the displaced fractures 23% failed in the first year because of non-union or infection. Of the fractures which united 27% had developed avascular necrosis after three years. Despite this we believe that the sliding compression screw-plate, of proven value in the treatment of intertrochanteric fractures, is also useful for the fixation of subcapital fractures.
我们报告了一项对198例股骨颈基底骨折患者进行的前瞻性研究，这些患者均接受了闭合复位并用滑动加压螺钉钢板固定的治疗。该治疗未考虑患者的年龄或骨折的Garden分期。鼓励患者早期负重。在移位骨折中，23%在第一年因骨不连或感染而治疗失败。在已愈合的骨折中，27%在三年后发生了股骨头缺血性坏死。尽管如此，我们认为，滑动加压螺钉钢板在治疗粗隆间骨折方面已被证明具有价值，它对于股骨颈基底骨折的固定也很有用。
