Heyse-Moore G H, MacEachern A G, Evans D C
J Bone Joint Surg Br. 1983 May;65(3):262-7. doi: 10.1302/0301-620X.65B3.6841393.
One hundred and seven patients with intertrochanteric fractures of the femur treated with a Richards screw-plate were compared retrospectively with 103 patients treated with a Jewett nail-plate. The mortality and morbidity were similar in the two groups. In patients with comparable fractures, those treated with a Richards device mobilised more quickly and left hospital sooner, and more of them returned to their homes. Failures of stabilisation, both clinically and radiographically, were fewer in this group. The reliability of fixation with a correctly positioned Richards screw-plate could justify the omission of outpatient follow-up in all but a small group of patients with severe unstable fractures or grossly defective bone stock. The higher cost of a Richards implant and the slightly longer operative procedure were outweighed by savings in occupancy of acute and long-stay hospital beds.
对107例采用Richards螺钉钢板治疗的股骨转子间骨折患者与103例采用Jewett钉板治疗的患者进行了回顾性比较。两组的死亡率和发病率相似。在骨折情况相当的患者中，采用Richards器械治疗的患者活动更快，出院更早，且更多患者回到家中。该组在临床和影像学上的固定失败情况较少。对于除一小部分严重不稳定骨折或骨量严重不足的患者外的所有患者，正确放置的Richards螺钉钢板固定的可靠性可以证明无需门诊随访。Richards植入物较高的成本和稍长的手术过程被急性和长期住院床位占用的节省所抵消。
