Lüthje P, Vaherto H
Z Orthop Ihre Grenzgeb. 1979 Jun;117(3):365-70.
The late results of 133 operatively treated patients with femoral neck and trochanteric fractures were evaluated. The series consisted of 86 women and 47 men, 72 femoral neck fractures and 61 trochanteric fractures. 99 patients were treated by A-O osteosynthesis and 34 by endoprosthesis. The average age of the group with osteosynthesis was 71 and of the group with endoprosthesis 76 years. From 3 to 5 years after the operation the nailing results of the patients with femoral neck fractures were poor in 7.1 and with trochanteric fractures in 15.4 per cent. During the same observation period the results of the patients treated with endoprosthesis were poor in 14.3 per cent. There were no statistically significant difference between the A-O group and the endoprosthesis group with femoral neck fractures. Between the mortality of the nailed patients with femoral neck fractures and the endoprosthesis group there was no statistically significant difference.
对133例接受手术治疗的股骨颈骨折和转子间骨折患者的远期结果进行了评估。该系列包括86名女性和47名男性,72例股骨颈骨折和61例转子间骨折。99例患者采用A-O接骨术治疗,34例采用假体置换治疗。接骨术组的平均年龄为71岁,假体置换组为76岁。术后3至5年,股骨颈骨折患者的穿钉治疗效果不佳者占7.1%,转子间骨折患者为15.4%。在同一观察期内,接受假体置换治疗的患者效果不佳者占14.3%。股骨颈骨折的A-O组和假体置换组之间无统计学显著差异。股骨颈骨折穿钉患者的死亡率与假体置换组之间无统计学显著差异。