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股骨转子间骨折治疗中的坚强内固定与早期负重

Rigid fixation and early weight bearing in the treatment of pertrochanteric fractures of the femur.

作者信息

Baccarani G, Battaglia L, Ceruti A

出版信息

Ital J Orthop Traumatol. 1979 Dec;5(3):273-83.

PMID:553914
Abstract

The authors review eighty cases of pertrochanteric and subtrochanteric fractures of the femur treated surgically with the vitallium Jewett nail-plate between May 1975 and November 1977. They draw attention to the possibility offered by this fixation device of starting weight bearing at an early stage, a factor that is unanimously regarded as essential for rapid recovery in the elderly fracture patient. In fact, fifty-six patients commenced independent walking with some support within two weeks of operation. The fairly low incidence of complications (six in eighty operations), and the relative simplicity of the surgical technique, support the Jewett nail-plate as a suitable device for rigid fixation of trochanteric fractures of the neck of the femur.

摘要

作者回顾了1975年5月至1977年11月间用维塔利姆·朱伊特钉板对80例股骨转子间和转子下骨折进行手术治疗的病例。他们提请注意这种固定装置提供了早期开始负重的可能性,这一因素被一致认为是老年骨折患者快速康复的关键。事实上,56例患者在术后两周内借助一些辅助开始独立行走。并发症发生率相当低(80例手术中有6例),且手术技术相对简单,这支持将朱伊特钉板作为股骨颈转子间骨折坚强固定的合适装置。

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