Malkawi H
Clin Orthop Relat Res. 1982 Aug(168):69-72.
Of 40 adult patients with nonpathologic subtrochanteric fractures, 38 were treated by compression internal fixation using the ASIF technique and two were treated conservatively. Of many factors causing failure of internal fixation, comminution of the medial cortex is the major factor. A new classification for subtrochanteric fractures (nonpathologic) is based on experience with 25 fractures in which the medial cortex was comminuted; the treatment was internal fixation supplemented with autologous cancellous bone graft. In 13 fractures with no medial cortical comminution, the treatment was internal fixation alone. All fractures united without major morbidity within six months' time.
在40例非病理性转子下骨折的成年患者中，38例采用AO/ASIF技术行加压内固定治疗，2例采用保守治疗。在导致内固定失败的诸多因素中，内侧皮质粉碎是主要因素。基于对25例内侧皮质粉碎性转子下骨折（非病理性）的治疗经验，提出了一种新的分类方法；治疗方法为内固定加自体松质骨植骨。13例无内侧皮质粉碎的骨折仅行内固定治疗。所有骨折均在6个月内愈合，无严重并发症。
