Smiljanić B, Hrastović Z, Marinić S
Acta Chir Iugosl. 1977;24(1 Suppl):513-7.
The authors discuss the problem of treatment of pretrochanteric fractures and emphasize that this type of fracture generally heals well and that it is characterized by fast callus formation. Conservative therapy in coxofemoral plaster often leads to serious complications and has a high mortality rate. Lasting extension according to Russel demands a long hospitalization period and significantly diminishes the number of surgical beds available. Surgical therapy has several advantages: it has far fewer complications and a mortality rate which is only about half as great as in conservative therapy. The authors evaluate their results obtained in 120 cases of pertrochanteric fractures treated surgically as satisfactory. In 106 cases osteosynthesis according to the AO technique and in the remaining 16 cases osteosynthesis using 3 to 4 Kirschner wires percutaneously were performed.
作者们讨论了转子间骨折的治疗问题，并强调这类骨折通常愈合良好，其特点是骨痂形成迅速。髋人字石膏固定的保守治疗常导致严重并发症，且死亡率很高。按照罗素法进行持续牵引需要较长的住院时间，会显著减少可用的手术床位数量。手术治疗有几个优点：并发症少得多，死亡率仅约为保守治疗的一半。作者们认为他们对120例手术治疗的转子间骨折所取得的结果是令人满意的。其中106例采用AO技术进行骨固定，其余16例经皮使用3至4根克氏针进行骨固定。
