Treatment of ipsilateral hip and femoral shaft fractures with reconstructive intramedullary interlocking nail.
- Author:
Li-dong WU
1
;
Qiong-hua WU
;
Shi-gui YAN
;
Zhi-jun PAN
Author Information
- Publication Type:Journal Article
- MeSH: Adolescent; Adult; Bone Nails; Female; Femoral Fractures; diagnostic imaging; surgery; Fracture Fixation, Intramedullary; instrumentation; methods; Fracture Healing; physiology; Hip Fractures; diagnostic imaging; surgery; Humans; Injury Severity Score; Male; Middle Aged; Multiple Trauma; diagnostic imaging; surgery; Prognosis; Radiography; Recovery of Function; Retrospective Studies; Risk Assessment; Sampling Studies; Treatment Outcome
- From: Chinese Journal of Traumatology 2004;7(1):7-12
- CountryChina
- Language:English
-
Abstract:
OBJECTIVETo evaluate the results of reconstructive intramedullary interlocking nail in the treatment of ipsilateral hip and femoral shaft fractures.
METHODSFrom August 1997 to November 2001, 13 patients were treated with the reconstructive intramedullary interlocking nail. Nine patients were associated with ipsilateral femoral neck fractures, three with ipsilateral intertrochanteric fractures, and one with subtrochanteric fracture.
RESULTSThe follow-up time was from 6 to 38 months with an average of 14 months. All the femoral shaft and hip fractures healed up well. There was no nonunion of the femoral neck, and only one varus malunion. No patient had avascular necrosis of the femoral head. The average healing time for femoral neck fracture was 4.6 months and for shaft fracture 5.8 months. The joint movement and other functions were fairly resumed.
CONCLUSIONSThe reconstructive intramedullary interlocking nail, with less trauma, reliable fixation, and high rate of fracture healing, is an ideal method of choice in the treatment of ipsilateral hip and femoral shaft fractures.
