The zickel nail in the treatment of metastatic bone disease in the upper end of the femur.
During a period of 5 years, 39 cases (37 patients) with metastatic bone disease in the proximal femur were treated by the insertion of a Zickel intramedullary nail using a 'closed' operative technique. The use of methyl methacrylate as an adjunct to fixation was not considered necessary. The results were satisfactory in terms of achieving stabilization of the fracture if present, relief of pain and the ability to commence early ambulation.
Taylor
A
A
Department of Orthopaedics, St Vincent's Hospital, Melbourne, Victoria, Australia.
Rush
J
J
D000293:Adolescent; D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D001858:Bone Nails / Q000592:standards*; D004434:Early Ambulation / Q000706:statistics & numerical data; D005260:Female; D005264:Femoral Fractures / Q000209:etiology / Q000517:prevention & control / Q000601:surgery*; D005266:Femoral Neoplasms / Q000150:complications* / Q000000981:diagnostic imaging / Q000556:secondary; D005500:Follow-Up Studies; D005594:Fracture Fixation, Intramedullary / Q000295:instrumentation / Q000379:methods / Q000592:standards*; D006801:Humans; D008297:Male; D008875:Middle Aged; D011183:Postoperative Complications / Q000453:epidemiology / Q000209:etiology; D011859:Radiography; D016896:Treatment Outcome; D014739:Victoria / Q000453:epidemiology; D016474:Weight-Bearing