Closed retrograde intramedullary nailing of peritrochanteric fractures of the femur with a new nail.
Two hundred and forty patients with intertrochanteric and subtrochanteric fractures were treated by closed intramedullary nailing with a new nail inserted retrograde via the medial condyle. After insertion, the alignment of the nail is nearly parallel to the line of load-bearing. Early weight-bearing was achieved for most patients with intertrochanteric and stable subtrochanteric fractures. A review of the 176 fractures that had at least an eight-month follow-up revealed loss of reduction in 2.3 per cent. There were no cases of implant failure, delayed union, non-union, or infection. The six-week mortality rate was 3.7 per cent and the eight-month rate, 10.4 per cent.
D000368:Aged; D001858:Bone Nails; D004434:Early Ambulation; D005260:Female; D005264:Femoral Fractures / Q000401:mortality / Q000503:physiopathology / Q000601:surgery*; D005594:Fracture Fixation, Intramedullary / Q000379:methods; D006801:Humans; D008297:Male; D008875:Middle Aged; D011300:Preoperative Care; D014025:Titanium
D014025:Titanium