整形外科と災害外科
Online ISSN : 1349-4333
Print ISSN : 0037-1033
ISSN-L : 0037-1033
大腿骨転子下骨折の治療成績
大坪 義昌藤田 雅章松本 智子泉 賢太郎秋山 寛治森田 馨矢野 勝己
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1991 年 40 巻 1 号 p. 294-297

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The purpose of this paper is to show the results of surgical treatment of subtrochanteric fractures of the femur with special reference to the relationship of the type of fracture and the method of osteosynthesis
During 1980 to 1989, 32 patients were treated surgically and all the cases were fresh wihch means within one month after injury. The type of fracture was determined according to Seinsheimer's classification of 8 types. The results were evaluated roentgenographycally.
The methods of osteosynthesis were compression hip screw in 17 cases and Ender in 15 cases. According to our evaluation, 7 cases (21.9%) had poor results in which 6 cases were treated with compression hip screw and 1 case with Ender. There were no relationship between the type of fracture and poor results.
Our results suggested that, Ender's operation is more preferable compared with those with compression hip screw for the high union rate and lesser traumatic surgery.
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© 西日本整形・災害外科学会
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