Gorshkov V A, Mitaev A M
Vestn Khir Im I I Grek. 1976 Jun;116(6):70-3.
Till 1971 in the clinic the treatment of trochanteric fractures was mostly conservative. Application of this method resulted in numerous complications and high mortality rate (33%). Among 363 patients admitted to the clinic during this period surgical therapy was employed only in 13 patients (3.5%). Within the recent 3 years indications to surgical therapy were considerably extended: of 111 admitted patients 41 were treated surgically (37%). The greatest number of operations was made in patients aged 71-90 years old. For osteosynthesis pin-screw with diaphyseal pad was employed. The results obtained are described.
直到1971年,临床上股骨转子间骨折的治疗大多是保守治疗。采用这种方法导致了许多并发症和高死亡率(33%)。在此期间,在该诊所收治的363例患者中,仅13例(3.5%)采用了手术治疗。在最近3年中,手术治疗的适应症有了相当大的扩展:在收治的111例患者中,41例接受了手术治疗(37%)。手术数量最多的是71至90岁的患者。采用了带骨干垫的螺丝钉进行骨固定。描述了所获得的结果。