Høgh J
Injury. 1982 Sep;14(2):141-5. doi: 10.1016/0020-1383(82)90048-1.
From spring 1979 all patients with trochanteric and subtrochanteric fractures treated at Aarhus County Hospital have been operated on with the sliding nail, and the patients' progress has been followed for 1 year. In this article the results from the 92 first operations are compared with the results from a controlled trial comparing Ender's nailing and McLaughlin's nail-plate fixation. The latter series originated from the same department but from 1976 until 1978. It was bound that the time of anaesthesia in the Ender, the McLaughlin and in the sliding-nail group wad 125, 131 and 145 minutes respectively. There was no significant difference in the occurrence of post-operative complications between the 3 groups. In the Ender group 56 per cent of the patients had technical complications compared with 23 per cent in the McLaughlin group. In the Ender group 14 per cent had second operations compared with only 3 per cent in the two other groups. The results at the 1-year follow-up examination were the best in the sliding-nail group. It was concluded that the use of the sliding nail carried great advantages compared with Ender nailing and McLaughlin nail plating.
自1979年春季起，奥胡斯郡医院收治的所有股骨转子间及转子下骨折患者均采用滑动钉进行手术治疗，并对患者的病情进展进行了为期1年的跟踪。在本文中，将前92例手术的结果与一项比较恩德尔髓内钉固定术和麦克劳克林钉板固定术的对照试验结果进行了对比。后者来自同一科室，但时间为1976年至1978年。结果发现，恩德尔组、麦克劳克林组和滑动钉组的麻醉时间分别为125分钟、131分钟和145分钟。三组术后并发症的发生率无显著差异。恩德尔组56%的患者出现技术并发症，而麦克劳克林组为23%。恩德尔组14%的患者接受了二次手术，而其他两组仅为3%。1年随访检查结果显示，滑动钉组最佳。得出的结论是，与恩德尔髓内钉固定术和麦克劳克林钉板固定术相比，使用滑动钉具有很大优势。
