title: IMHS clinical experience in the treatment of peritrochanteric fractures. The results of a multicentric Italian study of 981 cases.
abstract: This retrospective study evaluates the results obtained in five Italian departments of traumatology in the treatment of peritrochanteric (pertrochanteric and subtrochanteric) fractures by the intramedullary hip screw (IMHS; Smith & Nephew Richards, Memphis, TN, USA) nail. One thousand two hundred and seventy-three patients were treated with the IMHS nail between March 1992 and February 2000. The results of these operations were evaluated clinically and radiological in 981 patients. The 90.3% of patients could walk unaided or with simple support. Because of the low complication rate requiring re-operation (postoperative shaft fractures, screw penetrated the acetabulum, cut out and non-union) (1.7%), we think that this device is an advance in the treatment of peritrochanteric fractures.
authors.affiliation: Department of Orthopaedics, Treviso, Italy. rewesch@libero.it
authors.forename: E
authors.initials: E
authors.lastname: Rebuzzi
authors.forename: A
authors.initials: A
authors.lastname: Pannone
authors.forename: S
authors.initials: S
authors.lastname: Schiavetti
authors.forename: P
authors.initials: P
authors.lastname: Santoriello
authors.forename: U
authors.initials: U
authors.lastname: de Nicola
authors.forename: G
authors.initials: G
authors.lastname: Fancellu
authors.forename: P
authors.initials: P
authors.lastname: Cau
authors.forename: S
authors.initials: S
authors.lastname: Gulli
authors.forename: P
authors.initials: P
authors.lastname: Dordolin
authors.forename: P
authors.initials: P
authors.lastname: Maniscalco
authors.forename: F
authors.initials: F
authors.lastname: Morici
authors.forename: M
authors.initials: M
authors.lastname: Commessatti
authors.forename: M
authors.initials: M
authors.lastname: Pozzi-Mucelli
authors.forename: C S
authors.initials: CS
authors.lastname: Maiorana
authors.forename: F
authors.initials: F
authors.lastname: Bassini
mesh_terms: D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D001863:Bone Screws; D005260:Female; D006620:Hip Fractures / Q000000981:diagnostic imaging / Q000534:rehabilitation / Q000601:surgery*; D006621:Hip Joint / Q000000981:diagnostic imaging / Q000601:surgery; D006801:Humans; D007431:Intraoperative Complications / Q000209:etiology; D007558:Italy; D008297:Male; D008875:Middle Aged; D011183:Postoperative Complications / Q000209:etiology; D011859:Radiography; D012189:Retrospective Studies; D016138:Walking