Di Fiore M, Giacomello A, Viganò E, Zanoni A
2o Servizio di anestesia e rianimazione, Istituti Ortopedici Rizzoli, Bologna.
Chir Organi Mov. 1993 Jan-Mar;78(1):59-62.
The authors compare the results obtained in a group of 100 patients submitted to pertrochanteric osteosynthesis during the year 1991 (50 with a gamma nail and 50 with a compression-sliding plate) based on parameters of anesthesiology. The same type of anesthesiology was used in all 100 of the patients, as similar were the general clinical conditions of the patients, ASA classification, and the mean value of preoperative hemoglobin. The gamma nail proved to be preferable in terms of a shorter amount of time required for surgery, a minor loss of blood intra and postoperatively, and minor incidence of complications.
作者基于麻醉学参数,比较了1991年接受转子周围骨固定术的100例患者(50例使用伽马钉,50例使用加压滑动钢板)的结果。所有100例患者均采用相同类型的麻醉,患者的一般临床状况、ASA分级和术前血红蛋白平均值也相似。结果表明,伽马钉在手术所需时间更短、术中和术后失血量更少以及并发症发生率更低方面表现更优。