Carret J P, Van Cuyck A, Bejui J, Dejour H, de Mourgues G, Fischer L P
Rev Chir Orthop Reparatrice Appar Mot. 1980 Apr-May;66(3):167-71.
After trochanteric fractures, the rate of survival of old patients was best when treated by the Ender method: 15% died during 3 months following the fracture. The procedure is uneasy and an excellent radiologic technique is necessary. The position of the proximal end of the first nail in the femoral head is most important. Excessive external rotation was frequent, but little desabling. Secondary displacement of the nails toward the distal end occurred in 25% of the cases and was difficult to avoid but remained moderate. The procedure is indicated in old people with porotic bones. It should not be done in subtrochanteric fractures.
股骨转子间骨折后,老年患者采用恩德尔(Ender)方法治疗时生存率最佳:骨折后3个月内15%的患者死亡。该手术操作不易,需要精湛的放射学技术。第一根髓内钉近端在股骨头内的位置最为重要。经常出现过度外旋,但致残程度较轻。25%的病例中髓内钉向远端继发移位,难以避免但程度较轻。该手术适用于骨质疏松的老年人。转子下骨折不应采用此方法。