股骨粗隆间骨折髓内固定治疗新进展
New Progress in Intramedullary Fixation of Intertrochanteric Fracture of Femur
摘要: 目的：对股骨粗隆间骨折的髓内固定技术进行综述。方法：检索国内外有关文献，按时间顺序总结历年来不同髓内固定器械的特点、改良方向、优缺点及临床疗效。结果：髓内钉发展至今已有十余种，从早期简单的Ender钉逐渐改良至符合生物力学的各类器械后，各种临床并发症显著下降。结论：当前主流使用的髓内固定器械临床疗效良好，但仍存在低概率的并发症，而基于“杠杆–支点平衡–重建”理论设计的新型髓内钉有望改变这种现状。
Abstract: Objective: To review the intramedullary fixation techniques of femoral intertrochanteric fractures. Methods: Search the relevant literature at home and abroad, and summarize the characteristics, improvement direction, advantages and disadvantages, and clinical efficacy of different intrame-dullary fixation devices over the years in chronological order. Results: There have been more than ten kinds of intramedullary nails developed so far. After gradually improving the simple Ender nail in the early stage to various instruments in line with biomechanics, various clinical complications have decreased significantly. Conclusion: The current mainstream intramedullary fixation instru-ments have good clinical efficacy, but there are still low probability complications. The new in-tramedullary nails designed based on the “lever fulcrum balance reconstruction” theory are ex-pected to change this situation.
文章引用：李先登, 马建文. 股骨粗隆间骨折髓内固定治疗新进展[J]. 临床医学进展, 2022, 12(8): 7376-7384. https://doi.org/10.12677/ACM.2022.1281065

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