A greater trochanteric insertion site for femoral intramedullary nailing in lipomatous patients.
This is a review of the treatment of 12 femoral shaft fractures and three nonunions in lipomatous patients who had a greater trochanteric insertion point for intra medullary nailing. Indications included overweight patients and trochanteric lipodystrophy. Combined with a small proximal extension of the incision, maximal limb adduction, and a slotted intramedullary nail, the greater trochanteric insertion point was effective, and no complications directly related to this procedure were encountered.
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Division of Orthopedics, Ohio State University, Columbus, USA.
D000293:Adolescent; D000328:Adult; D015992:Body Mass Index; D005260:Female; D005264:Femoral Fractures / Q000601:surgery*; D005269:Femur / Q000601:surgery*; D005594:Fracture Fixation, Intramedullary / Q000379:methods*; D006801:Humans; D008060:Lipodystrophy / Q000150:complications*; D008297:Male; D008875:Middle Aged; D009765:Obesity / Q000150:complications*