Waris P, Kankaanpää U, Karaharju E, Michelsson J E, Ryöppy S, Snellman O
Ann Chir Gynaecol. 1979;68(3):85-9.
Hospital admissions due to fractures of the proximal femur in Finland increased 50% between 1968 and 1976. In this study the established differences and results of treatment in regional and district hospitals are reviewed. From the mortality incidence and the length of hospitalisation, the results were better in regional than in district hospitals, and better for operatively than for conservatively treated patients. Of the different operative methods, the best primary results were obtained with endoprosthetic replacement and osteosynthesis with a fixed-angle nail plate.
1968年至1976年间,芬兰因股骨近端骨折而住院的人数增加了50%。在本研究中,回顾了地区医院和区级医院在治疗方面既有的差异及结果。从死亡率和住院时长来看,地区医院的结果优于区级医院,接受手术治疗的患者结果优于接受保守治疗的患者。在不同的手术方法中,采用人工关节置换术和角钢板接骨术取得的初期效果最佳。