Ostapowicz G, Popović I
Zentralbl Chir. 1976;101(19):1178-83.
From a total of 351 fractures of the neck of the femur, 125 were of mid-cervical form, and from these 107 were dominated by type III after Pauwels. We have used double pinning as an optimal method of treatment for this fracture during the past 10 years. In 12% of the cases this method leads to pseudarthrosis, and in 10% to necrosis of the head of the femur. The double pinning technique is an especially optimal and less onerous method for patients at an advanced age, allowing a complete stabilisation of the fracture while concurrently correcting errors of rotation. We recommend the alloplastic restitution of the hip joint in the form of a total endoprothesis (TEP) as a secondary measure, only in rare cases as a primary operative method.
在总共351例股骨颈骨折中，125例为颈中部骨折，其中107例在 Pauwels 分型后以III型为主。在过去10年中，我们一直采用双针固定作为这种骨折的最佳治疗方法。在12%的病例中，这种方法会导致假关节形成，在10%的病例中会导致股骨头坏死。双针固定技术对于老年患者来说是一种特别理想且负担较小的方法，它能够使骨折完全稳定，同时纠正旋转误差。我们建议以全髋关节置换（TEP）的形式进行髋关节的异体修复作为次要措施，仅在极少数情况下作为主要手术方法。
