Wile P B, Panjabi M M, Southwick W O
Clin Orthop Relat Res. 1983 May(175):72-8.
In a series of 25 subtrochanteric fractures transfixed with high-angle compression hip screws, there were no mechanical failures, delayed unions, or nonunions. Osseous union occurred in a mean time of 3.6 months. Malunion occurred in two instances, at least one of which was the result of technical error at the time of reduction. Rapid mobilization of patients with subtrochanteric fractures is an attainable goal. Early partial weight-bearing should be possible. Although no one internal fixation appliance may be optimal for all fractures in the subtrochanteric region, the high-angle compression hip screw is efficient for the fixation of a wide variety of fracture patterns that otherwise would have been difficult to manage.
在一组采用高角度加压髋螺钉固定的25例转子下骨折中，未发生机械性失效、延迟愈合或骨不连。骨愈合平均发生时间为3.6个月。发生了2例畸形愈合，其中至少1例是复位时技术失误所致。转子下骨折患者的快速活动是一个可以实现的目标。早期部分负重应该是可行的。虽然没有一种内固定器械可能对转子下区域的所有骨折都是最佳的，但高角度加压髋螺钉对于固定多种原本难以处理的骨折类型是有效的。
