Mischkowsky T, Buhr H
Langenbecks Arch Chir. 1982;357(1):1-9. doi: 10.1007/BF01239655.
Unstable intertrochanteric fractures of the femur in aged patients primarily require a full weight-bearing stabilization because of the high vital risk due to immobilization. Valgus osteosynthesis with 160 degrees angled plate fixation and more or less medial displacement of the shaft fragment has produced good clinical results. The very low lethality of only 10% in our patients with an average age of 78.6 years suggests valgus osteosynthesis in the treatment of unstable intertrochanteric fractures to be the method of choice in age patients.
老年患者股骨粗隆间不稳定骨折主要需要完全负重稳定，因为固定导致的高生命风险。采用160度角钢板固定的外翻接骨术以及骨干骨折块或多或少的内侧移位已产生良好的临床效果。在我们平均年龄为78.6岁的患者中，仅10%的极低致死率表明外翻接骨术是老年患者不稳定粗隆间骨折治疗的首选方法。
