Møller B N, Lucht U, Grymer F, Bartholdy N J
Acta Orthop Scand. 1984 Oct;55(5):517-20. doi: 10.3109/17453678408992950.
A comparison was made of the McLaughlin nail plate and the Richards sliding screw-plate techniques for fixation of trochanteric hip fractures. The series included 96 patients in each group. The fractures were followed radiographically for 3 months. Technical failures were encountered in 31 per cent of the McLaughlin fractures and in 8 per cent of the Richards fractures; reoperation was performed in 9 per cent in McLaughlin vs none in the Richards fractures. The main failure was varus displacement in both groups, always combined with lateral cutting of the screw in the Richards fractures, and often combined with failure of the nail-plate junction in McLaughlin fractures. Our study has shown that the sliding screw-plate is superior to the nail plate in both stable and unstable fractures.
对用于股骨转子间骨折固定的麦克劳克林钉板技术和理查兹滑动螺钉钢板技术进行了比较。每组纳入96例患者。对骨折进行了3个月的影像学随访。麦克劳克林组骨折的技术失败率为31%，理查兹组为8%；麦克劳克林组9%的患者进行了再次手术，而理查兹组无一例再次手术。两组的主要失败原因均为内翻移位，在理查兹组骨折中总是伴有螺钉的外侧切割，在麦克劳克林组骨折中常伴有钉板连接处的失败。我们的研究表明，在稳定和不稳定骨折中，滑动螺钉钢板均优于钉板。
