Lau H K, Lee P C, Tang S C, Lim J K, Chow S P
Injury. 1983 Sep;15(2):129-35. doi: 10.1016/0020-1383(83)90041-4.
A new method for the treatment of unstable intertrochanteric fracture of the femur is proposed. This consists of stabilizing the fracture with a Dimon and Hughston medial displacement osteotomy and then restoring the cortical defect at the fracture site with methylmethacrylate cement (Dimon and Hughston, 1967). A preliminary trial on sixteen patients showed the excellent stability of the fracture achievable by this method. No mechanical failure was encountered, even though patients were all starting to walk and bearing full weight within the first week. No infection or non-union occurred. Early walking by the elderly patient suffering from a comminuted trochanteric fracture is important to counter the ill effects of decubitus associated with this fracture.
提出了一种治疗股骨不稳定型转子间骨折的新方法。该方法包括采用迪蒙和休斯顿内侧移位截骨术稳定骨折，然后用甲基丙烯酸甲酯骨水泥修复骨折部位的皮质缺损（迪蒙和休斯顿，1967年）。对16例患者的初步试验表明，该方法可使骨折获得极佳的稳定性。即使患者在第一周内就开始行走并完全负重，也未出现机械性失效。未发生感染或骨不连。患有粉碎性转子间骨折的老年患者早期行走对于对抗与此骨折相关的褥疮不良影响很重要。
