Use of an interlocked cephalomedullary nail for subtrochanteric fracture stabilization.
Forty-five Russell-Taylor Type 1B subtrochanteric femoral fractures were stabilized using an interlocked cephalomedullary nail. The intraoperative complication rate was 13.5%; the most frequent complication was a varus malreduction. The union rate was 100% at an average of 13.5 weeks after surgery; there were no implant failures. Forty-three of 45 (96%) patients regained greater than 120 degrees knee motion. Based on these results it is thought that an interlocked cephalomedullary nail may be the implant of choice for stabilization of Russell-Taylor Type 1B fractures; however, its proper use requires careful intraoperative technique, with particular attention given to avoid a varus malreduction.
French
B G
BG
Department of Orthopaedics, University Hospital, State University of New York Health Science Center at Brooklyn, NY 11203, USA.
Tornetta
P
P
D000293:Adolescent; D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D001858:Bone Nails / Q000009:adverse effects; D004867:Equipment Design; D005260:Female; D005500:Follow-Up Studies; D005594:Fracture Fixation, Intramedullary / Q000009:adverse effects / Q000295:instrumentation* / Q000379:methods; D017102:Fracture Healing; D006620:Hip Fractures / Q000145:classification / Q000000981:diagnostic imaging / Q000534:rehabilitation / Q000601:surgery*; D006621:Hip Joint / Q000503:physiopathology; D006801:Humans; D007431:Intraoperative Complications; D007719:Knee Joint / Q000503:physiopathology; D008297:Male; D008875:Middle Aged; D011475:Prosthesis Failure; D011859:Radiography; D016059:Range of Motion, Articular; D012189:Retrospective Studies; D013997:Time Factors; D016138:Walking / Q000502:physiology