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Órgano Oficial del Colegio Mexicano de Ortopedia y Traumatología

2009, Number 3

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Acta Ortop Mex 2009; 23 (3)

Subtrochanteric fractures treated with interlocking endomedullary nailing

Apóstol-González S, Herrera J

Language: Spanish
References: 33
Page: 130-136
PDF size: 188.60 Kb.


ABSTRACT

Objective: Determine the efficacy of the treatment of subtrochanteric femur fractures with interlocking endomedullary nailing. Material and methods: This is a retrospective observational descriptive study. The clinical series reported analyzes the results of nineteen patients with a diagnosis of subtrochanteric fracture who were treated at various hospitals during the period 2000-2004. The fracture was classified according to the AO criteria and the Russell-Taylor classification. The final assessment is described using Sanders et al’s Traumatic Hip Assessment Scale. Results: The series includes thirteen male and six female patients. Mean age was 36 years. The mechanism of injury was motor vehicle accidents and gunshot wound. Mean follow-up was 18 months. Fracture healing time was 3 months. In two patients healing occurred in varus (‹ 5º) and they have shortening ‹ 2 cm. According to the score in the Sanders et al scale, 10 results were excellent, 8 good and one fair. Conclusions: We recommend the use of a monoblock-type of interlocking endomedullary nail to treat subtrochanteric fractures. This method is an alternative to closed interlocking endomedullary nailing.


REFERENCES

  1. Fraimson AI: Treatment of comminuted subtrochanteric fractures of femur. Surg Gynec and Obstret 1970; 131: 465-72.

  2. Koch JC: The Laws of bone architecture. Am J Anat 1917; 21: 177-298.

  3. Allis OH: Fracture in the upper third of the femur exclusive of the neck. Med New 1891; 59: 585-90.

  4. Lambotte A: L’intervention opératoire dans les fractures récents et anciennes; envisage particuliérement au point de vue de l’ost‚o-synthése avec la description de plusieurs techniques nouvelles. Brussels 1907; Lamertain.

  5. Fielding JW, Magliato HJ: Subtrochanteric fractures. Surg Gynec and Obstetr 1966; 122: 555-60.

  6. Browner BD, Jupiter JB, Levine AM, Trafton MG: Skeletal trauma. Volume Two. Cap. 45 (Subtrochanteric fractures of the femur). 1485-1524, W.B. Saunders Company. Philadelphia. 1992.

  7. Sims SH: Fracturas femorales subtrocantéricas. Orthop Clin Nort Am (Ed. Española). 2002; 1: 113-25.

  8. Jewett EL: One-piece angle nail for trochanteric fractures. J Bone Joint Surg 1941; 23(10): 803-810.

  9. Kuntscher G: Dauerbruch und Umbauzone. Bruns’ Beitr. Klin Chir 1939; 169: 557-72.

  10. Zickel RE: A new fixation device for subtrochanteric fractures of the femur: preliminary report. Clin Orthop 1967; 54: 115-23.

  11. Zickel RE. An intramedullary fixation device for the proximal part of the femur. Nine years’ experience. J Bone Joint Surg 1976; 58-A: 866-72.

  12. Zickel RE. Subtrochanteric femoral fractures. Orthop Clin North Am 1980; 11: 558-68.

  13. Zickel RE, Mouradian WH: Intramedullary fixation of pathologic fractures and lesions of the subtrochanteric region of the femur. J Bone Joint Surg 1976; 58-A(12): 1061-6.

  14. Bergman GD, Winquist RA, Mayo KA, Hansen ST. Subtrochanteric fracture of the femur. Fixation using the Zickel nail. J Bone Joint Surg 1987; 69-A(7): 1032-40.

  15. Kyle RF: Instructional Course Lectures. Fractures of the proximal part of the femur. J Bone Joint Surg 1994; 76-A(6): 924-50.

  16. Ovadia DN, Chess JL: Intraoperative and postoperative subtrochanteric fracture of the femur associated with removal of the Zickel nail. J Bone Joint Surg 1988; 70-A(2): 239-43.

  17. Yelton C, Low W: Iatrogenic subtrochanteric fracture: a complication of Zickel nails. J Bone Joint Surg 1986; 68-A(8): 1237-40.

  18. Kinast C, Bolhofner BR, Mast JW, Ganz R: Subtrochanteric fracture of the femur. Results of treatment with the 95–degree condylar blade plate. Clin Orthop 1989; 238: 128-30.

  19. Müller ME, Allgower M, Schneider R, Willenegger H. Manual de osteosíntesis. Técnicas recomendadas por el grupo AO. Springer-Verlag Ibérica, 1993.

  20. Clawson DK: Trochanteric fractures treated by the sliding screw plate fixation method. J Trauma 1964; 4: 737-52.

  21. Massie WK: Extracapsular fractures of the hip treated by impaction using a sliding nail-plate fixation. Clin Orthop 1962; 22: 180-202.

  22. Sanders R, Regazzoni P, Rout ML Jr: The treatment of subtrochanteric fractures of the femur using the dinamic condylar screw. Presented at AAOS Annual Meeting. Atlanta, Georgia. 1988: 4-9.

  23. Santner TJ, Wypij D: Currents concepts review: Fundamentals of statistics for orthopaedics. Part IV. J Bone Joint Surg 1987; 69-A(3): 463-70.

  24. Thoresen BO, Alho A, Ekeland A, Striansie K, Follerts G, Houkebi A. Interlocking intramedullary nailing in femoral shaft fractures. A report of 48 cases. J Bone Joint Surg 1985; 67-A (12): 1313-20.

  25. Brumback RJ, Uwagie-Ero S, Lakatos RP, Poka A, Bathon CH, Burgess AP. Intramedullary nailing of femoral shaft fractures. Part II: fracture–healing with static interlocking fixation. J Bone Joint Surg 1988; 70-A(12): 1453-62.

  26. Santner TJ: Current concepts review. Fundamentals of statistics for orthopaedics: part I. J Bone Joint Surg 1984; 66-A(3): 468-71.

  27. Seinsheimer F. Subtrochanteric fractures of the femur. J Bone Joint Surg 1976; 58-A(8): 1061-6.

  28. Taylor JC, Russell TA, LaVelle DG, Calandruccio RA: Clinical results of 100 femoral shaft fractures treated with the Russell-Taylor interlocking nail system. Abstract Orthop Trans 1987; 11: 491.

  29. Wiss DA, Brien WW, Becker J Jr: Interlocking nailing for the treatment of femoral fractures due to gunshot wounds. J Bone Joint Surg 1991; 73-A(4): 598-606.

  30. Gustilo RB, Anderson JT. Prevention of infection in the treatment of one thousand and twenty-five open fractures of long bones. Retrospective and prospective analyses. J Bone Joint Surg 1976; 58-A(6): 453-58.

  31. Bocchi L, Caniggia M, Maniscalco P: Chiodo endomidollare bloccato per femore dinamico e modulare, tecnica operatoria. Gruppo industriale Bioimpianti. Peschiera Borromeo 1998.

  32. Hibbs RA: The management of the tendency of the upper fragment to tilt forward in fractures of the upper third of the femur. New York Med J 1902; 75: 177-9.

  33. Wile PB, Panjabi MM, Southwick WO. Treatment of subtrochanteric fracture with a high-angle compression hip screw. Clin Orthop 1983; 175: 72-8.




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