Bone grafting in subtrochanteric fractures.
Of 40 adult patients with nonpathologic subtrochanteric fractures, 38 were treated by compression internal fixation using the ASIF technique and two were treated conservatively. Of many factors causing failure of internal fixation, comminution of the medial cortex is the major factor. A new classification for subtrochanteric fractures (nonpathologic) is based on experience with 25 fractures in which the medial cortex was comminuted; the treatment was internal fixation supplemented with autologous cancellous bone graft. In 13 fractures with no medial cortical comminution, the treatment was internal fixation alone. All fractures united without major morbidity within six months' time.
D000293:Adolescent; D000328:Adult; D000368:Aged; D016025:Bone Transplantation; D005260:Female; D005500:Follow-Up Studies; D005593:Fracture Fixation, Internal / Q000379:methods*; D006620:Hip Fractures / Q000601:surgery*; D006801:Humans; D007085:Ilium; D008297:Male; D008875:Middle Aged