Short reconstruction nail for intertrochanteric fracture: does it really fit Asian feature?
Short reconstruction nail for intertrochanteric fracture: does it really fit Asian feature?
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股骨粗隆间骨折短重建钉：真的适合亚洲人特征吗？
DOI：
10.1007/s00402-011-1365-7
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发表时间：
2011
影响因子：
2.3
通讯作者：
Wu, Hao-Bo
中科院分区：
文献类型：
--
作者：
Zhao, Xiang;Yan, Shi-Gui;Li, Hang;Wu, Hao-Bo
Trigen短重建粗隆顺行甲（TAN）被认为最适合亚洲患者的小骨骼。我们评估了TAN治疗亚洲患者粗隆间骨折的结果。方法2006年1月~ 2009年3月，我科共收治174例骨折患者164例。回顾性分析平均26个月的流行病学资料、影像学改变、骨折类型、皮质骨指数、临床结果和并发症。结果31-A3型骨折的甲尖骨折率为17.0%，复位不良率为15.9%，外侧粗隆骨折率为41.4%。所有病例均为31-A3型不稳定骨折合并侧粗隆粉碎性骨折。2例轴骨折需要翻修，其他骨折未出现延迟愈合、不愈合或感染。无螺钉断裂，但有一个切口发生，接受全髋关节置换术翻修。其他的骨折最后都愈合了。远端骨干骨折的风险与患者年龄、性别、骨折类型或皮质骨指数无关。结论尽管理论上TAN设计较好，大部分骨折愈合，最后随访时活动良好，但仍不能完全避免钉入导致复位不良和髋内翻，且远端钉的设计有可能导致股骨干骨折。未来的改进是必要的，以使这一系统在亚洲的使用。
BackgroundThe Trigen short reconstruction trochanteric antegrade nail (TAN) is considered most suitable for the small skeletons of Asian patients. We have evaluated the results of TAN for intertrochanteric fractures in Asian patients.MethodsBetween January 2006 and March 2009, 174 fractures in 164 patients were treated by TAN in our department. Epidemiological data, radiological changes, fracture types, cortical bone indices, clinical outcomes, and complications over a mean of 26 months were analyzed retrospectively.ResultsWe observed a 17.0% fracture rate at the tip of the nail, a poor reduction rate of 15.9%, and a 41.4% cracking rate of the lateral trochanter for type 31-A3 fracture. Review of these cracking cases showed that they were all type 31-A3 unstable fractures combined with comminuted lateral trochanter fractures. Two shaft fractures required revision, with other fractures showing no delayed union, nonunion or infection. No screw breakage but one cut-out occurred, which received total hip arthroplasty revision. All other fractures healed at last. Risk of distal shaft fractures was not associated with patient age, gender, fracture type or cortical bone index.ConclusionDespite the theoretically better design of TAN and the healing of most fractures and good activity at last follow-up, poor reduction and coxa vara caused by insertion of the nail could not be completely avoided, and the design of the distal part of the nail had the potential to cause femoral shaft fracture. Future improvements are necessary to enable the use of this system in Asians.
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影响因子：
0.4
作者：
P. Docquier;E. Manche;J. Autrique;B. Geulette
通讯作者：
P. Docquier;E. Manche;J. Autrique;B. Geulette
DOI：
10.1097/01.ta.0000240455.06842.a0
发表时间：
2007-11-01
影响因子：
--
作者：
Min, Woo-Kie;Kim, Shin-Yoon;Koo, Kyung-Hoi
通讯作者：
Koo, Kyung-Hoi
DOI：
--
发表时间：
1991
期刊：
--
影响因子：
--
作者：
S. H. Bridle;A. Patel;M. Bircher;P. Calvert
通讯作者：
S. H. Bridle;A. Patel;M. Bircher;P. Calvert
DOI：
10.1302/0301-620x.74b3.1587875
发表时间：
1992-05-01
影响因子：
--
作者：
ROSENBLUM, SF;ZUCKERMAN, JD;TAM, BS
通讯作者：
TAM, BS
影响因子：
5.3
作者：
Forte, Mary L.;Virnig, Beth A.;Swiontkowski, Marc F.
通讯作者：
Swiontkowski, Marc F.