title: Fractures of the distal end of the femur below hip implants in elderly patients. Treatment with the Zickel supracondylar device.
abstract: Four elderly patients with a fracture of the distal end of the femur below a pre-existing non-cemented hip implant were treated with the Zickel supracondylar device using a closed intramedullary technique. The results were uniformly successful and there were no complications. This method is recommended if the fracture is not comminuted and the proximal implant does not so obstruct the femoral canal as to prevent the passage of the two intramedullary rods.
mesh_terms: D000368:Aged; D005260:Female; D005264:Femoral Fractures / Q000000981:diagnostic imaging / Q000601:surgery*; D005594:Fracture Fixation, Intramedullary / Q000295:instrumentation / Q000379:methods*; D006621:Hip Joint / Q000601:surgery*; D006622:Hip Prosthesis; D006801:Humans; D011859:Radiography