Yang Fu-Chun
Department of Orthopedic Trauma and Hand Surgery, The First Affiliated Hospital of Guangxi Medical University, Nanning 530021, Guangxi Zhuang Autonomous Region, China.
World J Orthop. 2024 Oct 18;15(10):997-1000. doi: 10.5312/wjo.v15.i10.997.
In this editorial, I present my comments on the article by Solarino . Conversion hip arthroplasty, which is an optional salvage procedure performed following unsuccessful fixation of intertrochanteric femur fractures in elderly patients, entails more complex processes and higher rates of operative complications than primary arthroplasty. Hence, it is important to consider the appropriateness of the primary treatment choice, as well as the adequacy of nailing fixation for intertrochanteric fractures. This article briefly analyzes the possible factors contributing to the nailing failure of intertrochanteric fractures and attempts to find corresponding countermeasures to prevent fixation failures. It also analyzes the choice of treatment between nailing fixation and primary arthroplasty for intertrochanteric fractures.
在这篇社论中，我将对索拉里诺的文章发表我的看法。髋关节置换术是老年患者股骨转子间骨折内固定失败后可选择的挽救手术，与初次置换术相比，其过程更为复杂，手术并发症发生率更高。因此，考虑初次治疗选择的合理性以及股骨转子间骨折髓内钉固定的充分性非常重要。本文简要分析了导致股骨转子间骨折髓内钉固定失败的可能因素，并试图找到相应的对策以防止固定失败。文章还分析了股骨转子间骨折髓内钉固定与初次置换术之间的治疗选择。
