Treatment of femoral subtrochanteric fractures with reconstruction intramedullary nails
- VernacularTitle:重建钉治疗股骨转子下骨折
- Author:
Wei ZHOU
;
Yuqiang SUN
;
Yue ZHU
;
Bingfang ZENG
;
- Publication Type:Journal Article
- Keywords:
Femoral subtrochanteric fracture;
Reconstruction intramedullary nail
- From:
Chinese Journal of Orthopaedic Trauma
2004;0(05):-
- CountryChina
- Language:Chinese
-
Abstract:
Objective To report the clinical results of the treatment of subtrochanteric fractures of the femur with reconstruction intramedullary nails. Methods 51 cases of femoral subtrochanteric fractures were treated with reconstruction intramedullary nails in our department in the period from January 1997 to June 2003. Among them 9 cases belonged to Russell Taylor type ⅠA, 26 ⅠB, 2 ⅡA, and 14 ⅡB. 34 patients sustained high energy injury, and 17 low energy one. 17 cases had some complicated injuries. 5 cases were open fractures. Results The mean follow up of 18.5 (3 36) months revealed that fractures healed in all the 51 cases. The clinical healing time of the fracture averaged 13.5 (8 26) weeks after surgery. The functional evaluation was done by Sanders traumatic hip rating scale. The good and excellent rate was 94.11%(48/51). Three elderly patients experienced hip pain after surgery. There were no infection,varus deformity and implant breakage. Conclusion The Russell Taylor reconstruction intramedullary nail can be used to treat all kinds of femoral subtrochanteric factures with good results, high union rate and rare complications.
