[Management of combination injuries of the femur shaft and femoral neck fractures with a locking nail. Multicenter study of 26 cases from 4 trauma clinics].
Twenty-six patients with femoral shaft- and ipsilateral neck-fracture, treated in four different hospitals, have been analysed. The majority of these fractures was treated by a distally locked dynamic nail and fixation of the femoral neck by two or three lag-screws. In some cases a "contralateral" nail with a proximal locking screw in the femoral neck was used. Results are excellent without non-union or mal-union. Only one case of avascular necrosis occurred in an 68 years old patient. Interlocking intramedullary nailing certainly has its place in the treatment of associated femoral shaft- and neck-fractures. This closed method presents a stable fixation and permits early mobilisation and joint-function.
D001858:Bone Nails; D002986:Clinical Trials as Topic; D005264:Femoral Fractures / Q000000981:diagnostic imaging / Q000601:surgery*; D005265:Femoral Neck Fractures / Q000000981:diagnostic imaging / Q000601:surgery*; D005500:Follow-Up Studies; D005594:Fracture Fixation, Intramedullary; D006622:Hip Prosthesis; D006801:Humans; D011183:Postoperative Complications / Q000000981:diagnostic imaging; D011542:Pseudarthrosis / Q000601:surgery; D011859:Radiography; D012086:Reoperation; D014945:Wound Healing
Versorgung von Kombinationsverletzungen von Femurschaft- und Schenkelhalsfrakturen mit Verriegelungsnagel. Multizentrische Studie von 26 Fällen aus vier Unfallkliniken.