Bülhoff H, Dávid A, Ekkernkamp A
Chirurgische Universitätsklinik und Poliklinik, BG-Kliniken Bergmannsheil, Bochum.
Zentralbl Chir. 1995;120(11):881-6.
Subtrochanteric fractures are highly unstable. For treatment, open reduction and internal fixation are the method of choice. The 95 degrees condylar plate is widely used for stabilization of these fractures. Alternative devices are the gamma nail and the recently developed intramedullar nail with a twisted plate which allows immediate postoperative weight bearing. The reported complications of the gamma nail restrict its general application, whereas preliminary reports of the intramedullar nail with the twisted plate are encouraging. Further clinical data are necessary before its general application can be recommended.
转子下骨折极不稳定。治疗时，切开复位内固定是首选方法。95度髁钢板广泛用于此类骨折的固定。其他替代器械有伽马钉和最近研发的带螺旋刀片的髓内钉，后者允许术后立即负重。伽马钉报道的并发症限制了其广泛应用，而带螺旋刀片髓内钉的初步报告令人鼓舞。在推荐其广泛应用之前，还需要更多临床数据。
