[Percalcar Steinmann's pins fixation of intratrochaner fixation fracture. Clinical observation].
80 cases of intratrochaner fractures were treated by fixation of 4 Steinmann's pins which were 3.5 mm in diameter and inserted percutaneously through the calcar and compression trabeculae and distension trabeculae respectively. They were compared with the cases treated by skeletal traction or fixed by Nail-plate or angle plate. The rate of bony union in fixed position in the percalcar Steinmann's pins group was 83.7%. Normal neck-shaft angle accounted to 53.1% in the traction group. Varus deformity occurred in 16.3% cases of the Steinmann's pins group, and 35.9% cases of the traction group. The deformity was most frequently seen in cases of type IIIa and IV. No fixation failure occurred in the Steinmann's pins group. The Steinmann's pins passing through the outer cortex, calcar and compression trabeculae produced strong fixation and it's direction was in parallel to the weight-bearing line of the hip, with less shearing force and much compression force distributed on the fracture line. The operation was done under local anesthesia. No blood transfusion and early mobilization were the advantages of this method.
Xu
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ST
General Hospital of Beijing Unit of People's Liberation Army.
D000368:Aged; D000369:Aged, 80 and over; D001858:Bone Nails; D005593:Fracture Fixation, Internal / Q000009:adverse effects / Q000379:methods*; D006620:Hip Fractures / Q000601:surgery*; D006801:Humans; D011183:Postoperative Complications / Q000209:etiology / Q000517:prevention & control