Schwämmle K, Kelsch G, Ulrich C
Unfallchirurgische Klinik, Klinik am Eichert, Göppingen.
Langenbecks Arch Chir Suppl Kongressbd. 1996;113:967-9.
The problems experienced by most patients with trochanteric fractures are caused by their advanced age, particularly multimorbidity and osteoporosis, and due to this early postoperative functional treatment is only possible with full weight-bearing ability. To avoid perforation of the femoral head by overstress and collapse of the weak cancellous bone, any stabilizing device should be designed with an H-beamed blade, providing a large load-bearing surface. In our experience the 130 degrees-Double-T-blade-Plate is an effective implant for the treatment of pertrochanteric fractures, offering high stability, a large load-bearing surface, comparable complications with those known in other devices, easy and fast implantation, and low costs.
大多数转子间骨折患者所面临的问题是由其高龄引起的，尤其是多种疾病并存和骨质疏松，因此只有具备完全负重能力才能进行早期术后功能治疗。为避免因应力过大导致股骨头穿孔以及脆弱的松质骨塌陷，任何稳定装置都应设计成带有H形梁的刀片，以提供较大的承重表面。根据我们的经验，130度双T形钢板是治疗转子周围骨折的有效植入物，具有高稳定性、大承重表面、与其他装置相当的并发症、易于快速植入以及成本低等优点。
