Ryan J R, Salciccioli G C, Pederson H E
Clin Orthop Relat Res. 1979 Oct(144):178-82.
The results of the Deyerle method of pin plate fixation for intracapsular fracture of the neck of the femur are less satisfactory than the results in the original literature. We treated 143 intrascapsular neck fractures of the femur by the Deyerle method during the period from 1969 to 1975. Seventy-four patients had follow-ups of one year or had a major complication leading to failure prior to one year for evaluation. The failures were the result of avascular necrosis in 17.6% of the patients, non-union in 27% of the patients, and pin breakage in 1.35% of patients. Eight cases with combined avascular necrosis and non-union resulted in an overall failure rate of 26 patients or 35% of the 74 patients. These observations corroborate other reports in the literature on a high failure rate with multiple pin and plate fixation.
对于股骨颈囊内骨折，采用戴耶尔（Deyerle）针板固定法的结果不如原始文献中的结果理想。1969年至1975年期间，我们采用戴耶尔方法治疗了143例股骨颈囊内骨折。74例患者接受了一年的随访，或者在一年之前出现导致失败的主要并发症以供评估。失败的原因包括：17.6%的患者发生了缺血性坏死，27%的患者出现骨不连，1.35%的患者出现钢针断裂。8例合并缺血性坏死和骨不连的病例导致总体失败率为26例患者，占74例患者的35%。这些观察结果证实了文献中其他关于多针和钢板固定失败率高的报道。
