GAMMA-NAIL VS COMPRESSION SCREW FOR TROCHANTERIC FEMORAL FRACTURES - 15 REOPERATIONS IN A PROSPECTIVE, RANDOMIZED STUDY OF 378 PATIENTS

被引：94

作者：

AUNE, AK ^{[1
]}

EKELAND, A ^{[1
]}

ODEGAARD, B ^{[1
]}

GROGAARD, B ^{[1
]}

ALHO, A ^{[1
]}

机构：

[1] UNIV OSLO,ULLEVAAL HOSP,SURG CLIN,DEPT ORTHOPED,N-0407 OSLO,NORWAY

来源：

ACTA ORTHOPAEDICA SCANDINAVICA | 1994年 / 65卷 / 02期

关键词：

D O I：

10.3109/17453679408995418

中图分类号：

R826.8 [整形外科学]; R782.2 [口腔颌面部整形外科学]; R726.2 [小儿整形外科学]; R62 [整形外科学（修复外科学）];

学科分类号：

摘要：

A total of 378 trochanteric and subtrochanteric femoral fractures were randomized to treatment with Gamma nail (177) or Hip Compression Screw (HCS) (201). After a median follow-up time of 17 (10-27) months, 15 patients needed reoperations; 13 had been treated with Gamma nail and 2 with HCS. 10 patients, all treated with Gamma nail, were reoperated because of a femoral shaft fracture. 5 of these fractures occurred 8 (4-10) days postoperatively and were related to intraoperative complications. The other 5 shaft fractures occurred a median of 2 (1-3) months postoperatively after falls, and may be related to stress concentration at the tip of the solid nail. The lag screw cut out or penetrated the femoral head in 5 patients, 3 of them treated with Gamma nail and 2 with HCS.

引用

页码：127 / 130

页数：4

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