Rokito A S, Simon M, Koval K J, Zuckerman J D
Department of Orthopaedic Surgery, Hospital for Joint Diseases, New York City.
Bull Hosp Jt Dis. 1993 Winter;52(2):52-4.
Unstable intertrochanteric hip fractures are characterized by comminution of the posteromedial cortex, resulting in a fragment of variable size containing the lesser trochanter. Controversy exists as to whether it is necessary to perform reduction and fixation of this fragment. This case lends further support to the practice of fixating the lesser trochanteric fragment in unstable intertrochanteric fractures.
不稳定型股骨粗隆间骨折的特征是后内侧皮质粉碎,导致包含小粗隆的大小不一的骨折块。对于是否有必要对该骨折块进行复位和固定存在争议。该病例进一步支持了在不稳定型股骨粗隆间骨折中固定小粗隆骨折块的做法。