PFNA与Gamma3治疗不稳定股骨粗隆间骨折的疗效评价.pptVIP

结 果 * * * A1型:粗隆部位骨折,简单经粗隆 A1.1延粗隆间线 A1.2通过大粗隆 A1.3小粗隆下 * * * * The next step was to change to an intramedullary device. In comparison to a plate, an intramedullary nail is placed in the axis of the bone which brings a better transmission of the loads. On the other hand, this central position of the nail will prevent an over-dynamisation of neck-head fragment, as well as it offers an stronger construct (shorter lever arm). * Our experience at that time with IM nail design suggested that it was possible to combine the biomechanical advantages of an IM nail with those of a compression hip screw