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Treatment of subtrochanteric nonunions (Injury 2006;37:203-11).

机译:股骨转子下骨不连的治疗(Injury 2006; 37:203-11)。

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摘要

I read with interest the article by de Vries et al. concerning the management of rare and challenging subtrochanteric nonunions.1 Out of 33 subtrochanteric nonunions in their series, a blade plate was initially used for fracture fixation in 10 cases. The authors state that a blade plate is not an appropriate device for primary treatment of subtrochanteric fractures. When the same blade plate device was used for more difficult and complicated nonunions, they achieved a high success rate (32 out of 33 cases). It would be interesting to analyse what errors were made during the primary surgery that led to nonunion in these cases. This would help refine the plating technique and prevent a future complication of nonunion.
机译:我感兴趣地阅读了de Vries等人的文章。关于稀有和具有挑战性的股骨转子下骨不连的处理。1在其系列的33个股骨转子下骨不连中,最初有10例使用刀片板进行骨折固定。作者指出,刀板不是适合粗隆下骨折初步治疗的合适装置。当将同一刀片板设备用于更困难和更复杂的骨不连时,他们获得了很高的成功率(33例中的32例)。分析在这些情况下导致不愈合的初次手术中发生了哪些错误将是很有意思的。这将有助于改进电镀技术,并防止将来发生骨不连的并发症。

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