Treatment of the femoral and tibial fractures with Grosse and Kempf locking nails.
In a series of 104 femoral and 50 tibioendomedullary nailings using Grosse-Kempf (G-F) locking nails, 24% of femoral fractures and 12% of tibial fractures were comminuted; 48% of the patients had multiple injuries. The nail was locked at proximal and distal levels in 54% of the cases for the femur. Dynamization of the nail was carried out at an average of 12 weeks. Nonweight-bearing was imposed for both series from three weeks to three months. Bone healing was achieved before six months in 100% of tibial fractures. Following Thoressen criteria, the results of femoral cases were all excellent and good; the percentage reached 96% for tibial cases. The G-F nail is suitable for high-energy, comminuted fractures.
Riquelme
A G
AG
Traumatology and Orthopedic Surgery Department, Gregorio Marañon Hospital, Madrid, Spain.
Rodriguez
A J
AJ
Mino
G L
GL
Sanmartin
R M
RM
D000293:Adolescent; D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D001858:Bone Nails; D005260:Female; D005264:Femoral Fractures / Q000601:surgery*; D006801:Humans; D008297:Male; D008875:Middle Aged; D011183:Postoperative Complications; D013978:Tibial Fractures / Q000601:surgery*