Treatment of Trochanteric Fractures of Femur

Treatment of Unstable Trochanteric Femur Fractures: Proximal Femur Nail Versus Proximal Femur Locking Compression Plate.

Unstable trochanteric femur fractures are common fractures that are difficult to manage. We conducted a prospective study to compare functional outcomes and complications of 2 different implant designs, proximal femur nail (PFN) and proximal femur locking compression plate (PFLCP), used in internal fixation of unstable trochanteric femur fractures. On hospital admission, 48 patients with unstab...

[Adductor tenotomy in the treatment of trochanteric fractures of the femur].

The study of trochanteric fractures of the femur has received less attention in this country than elsewhere. Conservative treatment has generally been accepted as the only rational treatment and, since the age groups are high, a mortality rate in the neighbourhood of one in five has been regarded as almost inevitable. It is true of course that, if the patient survives, trochanteric fractures do...

The treatment of trochanteric fractures of the femur by the Ender method.

In 1966, Kuntscher2 introduced a condylo-cephalic intra-medullary nail, claiming more stable reduction with reduced blood loss and risk of infection. Unfortunately, technical difficulties due to the rigid nature of the rod, and, a high incidence of postoperative knee pain, limited its use. Ender and Simon-Weidner,3 and subsequently, Kuderna and Bohler4 described fixation of trochanteric fractur...

Treatment of trochanteric and subtrochanteric hip fractures

Z-effect after intramedullary nailing systems for trochanteric femur fractures

PURPOSE The aim of this study was to investigate the incidence of Z-effect after dual lag screw intramedullary nailing systems and risk factors contributing to this effect. We hypothesized that long nails provide more neck strength due to a longer lever than short nails and are therefore less likely to develop a misbalance of a higher head compressive strength than neck compressive strength. ...