Ippolito E, Mancini A, Scola E
Arch Orthop Trauma Surg (1978). 1983;101(3):187-91. doi: 10.1007/BF00436770.
Five cases who had endoprosthesis implanted for medial fracture of the neck of the femur are reported. All of them developed late complications that required replacements of endoprosthesis with total hip prosthesis. Complications included wearing of both joint cartilage and subchondral bone of the acetabulum, osteoporosis of the proximal end of the femur and fracture of the femur and the level of the endoprosthesis. Several problems of surgical management ensued. This experience strengthens the author's opinion that other forms of treatment--reduction in traction and nailing or total hip prosthesis--should be tried first also in particular cases of chronologically aged, but physically healthy patients with medial fractures of the neck of the femur.
报告了5例因股骨颈内侧骨折植入内置假体的病例。所有患者均出现晚期并发症，需要用全髋关节假体替换内置假体。并发症包括髋臼关节软骨和软骨下骨磨损、股骨近端骨质疏松以及股骨和内置假体水平处的骨折。随之而来的是一些手术治疗问题。这一经验强化了作者的观点，即在年龄较大但身体状况良好的股骨颈内侧骨折患者的特定病例中，也应首先尝试其他治疗方式——牵引复位及穿钉或全髋关节假体置换。
