Acta ortopedica mexicana · 2009
[Subtrochanteric fractures treated with interlocking endomedullary nailing].
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Apóstol-González Saúl, Herrera Jesús
Аннотация
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 (< 50) 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.
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 (< 50) 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.