[Intra- and perioperative complications in the stabilization of per- and subtrochanteric femoral fractures by means of PFN].
In the period from 2/98 up to 6/99, fractures of the proximal femur of 70 patients (phi 79.2 a), were treated with a proximal femur nail (PFN((R))). The aim of this retrospective analysis was to evaluate intra- and perioperative complications. The reports of the operation and the anaesthesia documentation sheets have been worked out, all X-rays have been measured, and evaluated along exactly defined parameters. Problems or complications were found in 18 cases (25,7%). In 7 cases (10,0%) these problems could be solved during operation. The "Z-effect" seen in 5 cases (7,1%) and the "cut-out" of the sliding-hip-screw in 6 cases (8,6%) were the most frequent complications. The main reason was a bad primary reposition in varus with a CCD-Angle less than 125 degrees.
Werner-Tutschku
W
W
Unfallchirurgische Abteilung, AKH-Wels, Germany. wwt1@utanet.at
Lajtai
G
G
Schmiedhuber
G
G
Lang
T
T
Pirkl
C
C
Orthner
E
E
D001858:Bone Nails; D005260:Female; D005594:Fracture Fixation, Intramedullary; D006620:Hip Fractures / Q000000981:diagnostic imaging / Q000601:surgery*; D006801:Humans; D007049:Iatrogenic Disease; D007431:Intraoperative Complications; D008297:Male; D011183:Postoperative Complications; D011859:Radiography; D012086:Reoperation; D012189:Retrospective Studies