Waddell J P
Instr Course Lect. 1984;33:218-21.
A review of 442 patients with intertrochanteric fractures of the femur has confirmed our initial finding in the first 227 patients so treated. Mortality continues at a low 11% at 6 months follow-up. No implant failures have occurred. Fixation failure, as manifested by head penetration or backing out of the nails with subsequent loss of fracture position, can be readily overcome by proper technique. External rotation deformity is controlled by prebending of the nails and early ambulation of the patient. Properly applied, Ender nailing represents a significant advance in the treatment of intertrochanteric fracture of the femur.
对442例股骨转子间骨折患者的回顾证实了我们最初对首批227例接受此类治疗患者的研究结果。在6个月的随访中，死亡率仍维持在较低的11%。未发生植入物失败的情况。通过适当的技术，可轻易克服因股骨头穿透或钉退出导致骨折位置丧失所表现出的固定失败。通过预先弯曲钉和患者早期活动可控制外旋畸形。正确应用时，Ender钉固定术代表了股骨转子间骨折治疗的重大进展。
