Saragaglia D, Carpentier E, Gordeff A, Legrand J J, Faure C, Butel J
Rev Chir Orthop Reparatrice Appar Mot. 1985;71(3):179-86.
The results of 265 trochanteric fractures in the elderly treated between 1980 and 1983 have been analysed. Among them, 136 were treated by Ender's nailing, 110 by prostheses and 19 by internal fixation. In an earlier study, Ender's nailing had been used in 75 p. 100 of cases. The conclusions were that the increasing use of a prosthesis has brought about an improvement in the results-80 p. 100 satisfactory in the present series compared with 54 p. 100 in the preceding one. The mortality rate was comparable after Ender's nailing and prostheses. Ender's nailing is indicated in stable fractures and, in unstable fractures, internal fixation is indicated in very active persons, Ender's nailing in non-ambulatory patients and prostheses in elderly patients with sufficient walking ability.
对1980年至1983年间治疗的265例老年转子间骨折的结果进行了分析。其中，136例采用恩德斯钉固定治疗，110例采用假体置换治疗，19例采用内固定治疗。在一项早期研究中，75%的病例采用了恩德斯钉固定。结论是，假体置换使用的增加带来了结果的改善——本系列中80%的结果令人满意，而前一系列中为54%。恩德斯钉固定和假体置换后的死亡率相当。稳定骨折适合采用恩德斯钉固定，不稳定骨折中，非常活跃的患者适合采用内固定，不能行走的患者适合采用恩德斯钉固定，有足够行走能力的老年患者适合采用假体置换。
