Hoffmann R, Südkamp N P, Schütz M, Raschke M, Haas N P
Unfall- und Wiederherstellungschirurgie, Humboldt-Universität zu Berlin.
Unfallchirurg. 1996 Apr;99(4):240-8.
Operative treatment of subtrochanteric femur fractures is demanding. The implants available follow different biomechanical and surgical principles. Extramedullary implants like the condylar blade plate and the dynamic condylar screw require subtle surgical and indirect reduction techniques. Intramedullary implants like intramedullary hip screws and interlocking nails are biomechanically advantageous. In contrast to the extramedullary implants these fixations can stand postoperative weight-bearing. The different operative techniques for the fixation of subtrochanteric fractures are presented and evaluated. Current trends in treatment rationales are outlined.
股骨转子下骨折的手术治疗颇具挑战性。现有的植入物遵循不同的生物力学和手术原则。髓外植入物，如髁钢板和动力髁螺钉，需要精细的手术操作和间接复位技术。髓内植入物，如髓内髋螺钉和带锁髓内钉，在生物力学方面具有优势。与髓外植入物不同，这些固定方式能承受术后负重。本文介绍并评估了治疗转子下骨折的不同手术技术。概述了当前治疗理念的发展趋势。
