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[转子区骨折手术治疗中手术方式的差异选择]

[Differential choice of the procedure in the surgical treatment of fractures in the trochanteric area].

作者信息

Schmidt K D

出版信息

Zentralbl Chir. 1984;109(14):910-8.

PMID:6475372
Abstract

718 trochanteric fractures, surgically treated with nailing according to Ender, 130 degrees angled blades of AO, 95 degrees condyle blades of AO, valgisation blades of AO and the (DHS) dynamic hip screw of AO were followed up for anatomical reconstruction, early weight-bearing, complications and spectrum of indication. The best surgical method is the DHS-osteosynthesis, easy to perform, weight-bearing at once, low rate of complications and good results by a broad spectrum of indications. Subtrochanteric fractures should be treated with 95 degrees condyle blade and unstable fractures connected with destruction of Adam's bow with valigisation osteotomy and valgisation blade.

摘要

718例转子骨折患者,分别采用恩德勒髓内针固定、AO 130°角钢板、AO 95°髁钢板、AO外翻钢板及AO动力髋螺钉(DHS)进行手术治疗,随后对其解剖重建、早期负重、并发症及适应证范围进行随访。最佳手术方法是DHS接骨术,操作简便,可立即负重,并发症发生率低,适应证广泛,效果良好。转子下骨折应采用95°髁钢板治疗,而与股骨矩破坏相关的不稳定骨折则采用外翻截骨术及外翻钢板治疗。

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