title: Preliminary experience with a new osteosynthesis device for intertrochanteric fractures.
abstract: From 1999, at the Orthopaedic Clinic of the University of Siena, 56 patients were treated with the compression hip nail-plate system, a new synthesis device for the treatment of peritrochanteric fractures. The system consists in a new dynamic cephalic screw that could be combined with a plate or a femoral nail. The dynamic cephalic screw of the BCM system has a limited sliding method, impeding excursion greater than 10 mm and preventing excessive collapse of the fracture fragments that can evolve into a shortening of the limb. The canulated nail has a diameter of only 9 mm, which permits insertion into the shaft canal without reaming. The possibility of the double combination of the screw with a plate or with an intramedullary nail permits the surgeon to have a double solution with a single instrument at hand, and offers the opportunity of changing the choice of synthesis method to implant even during surgery.
authors.affiliation: Dipartimento di Scienze Radiologiche e Ortopedico-Riabilitative Clinica Ortopedica e Traumatologica, Università degli Studi di Siena. maniscalco@unisi.it
authors.forename: P
authors.initials: P
authors.lastname: Maniscalco
authors.forename: F
authors.initials: F
authors.lastname: Rivera
authors.forename: C
authors.initials: C
authors.lastname: Bertone
authors.forename: S
authors.initials: S
authors.lastname: Urgelli
mesh_terms: D000368:Aged; D000369:Aged, 80 and over; D001696:Biomechanical Phenomena; D001858:Bone Nails; D001860:Bone Plates; D001863:Bone Screws; D005260:Female; D005593:Fracture Fixation, Internal / Q000295:instrumentation*; D005594:Fracture Fixation, Intramedullary / Q000295:instrumentation; D006620:Hip Fractures / Q000000981:diagnostic imaging / Q000601:surgery*; D006801:Humans; D008297:Male; D011859:Radiography; D014025:Titanium
chemical_list: D014025:Titanium