Pezé W, Elberg J F, Audren J L
J Chir (Paris). 1982 Feb;119(2):135-9.
A new solution to the problem of fractures of the trochanter region in elderly patients is based on an original anatomophysiological concept. A specific approach to the cervico-diaphyseal region has been developed which simplifies the introduction of a prosthesis supported by the diaphysis, by employing a sub-trochantirian osteotomy. The trochanter major is conserved, reset, and fixed solidly to the wing of the prosthesis by a large bolt, enabling regular rapid consolidation of the osteotomy and immediate stability, with the possibility of walking after several days and thus avoiding usual complications of prolonged decubitus. Results are comparable in every respect with those obtained using prostheses with cervical supports.
针对老年患者转子区骨折问题的一种新解决方案基于一种独创的解剖生理概念。已开发出一种针对股骨颈 - 骨干区域的特定方法，通过采用转子下截骨术，简化了由骨干支撑的假体的植入。大转子得以保留、复位，并通过一个大螺栓牢固地固定在假体翼上，使得截骨术能正常快速愈合并立即获得稳定，患者几天后即可行走，从而避免了长期卧床的常见并发症。各方面结果与使用带颈托假体所获得的结果相当。
