Resch M, Wetl K, Klösch W
Zentralbl Chir. 1984;109(11):731-6.
Stabilising per-and subtrochanteric fractures, especially in elderly patients, by Ender's nails is a slightly invasive and relatively simple method. In our opinion it is the best way of increasing the survival-rate. Dislocation of nails which would cause a reoperation can be avoided by using a wire-cerclage combined with a screw. Fixation of nails in the distal femur is possible without giving up the principle of a "gliding osteosynthesis".
采用恩德斯髓内钉稳定转子周围和转子下骨折,尤其是老年患者的骨折,是一种微创且相对简单的方法。我们认为这是提高存活率的最佳方式。通过使用钢丝环扎结合螺钉可避免髓内钉移位导致再次手术。在不放弃“滑动接骨术”原则的情况下,可实现髓内钉在股骨远端的固定。