title: Treatment of reverse oblique trochanteric femoral fractures with proximal femoral nail.
abstract: Treatment of reverse oblique trochanteric femoral fractures is still challenging. We present the results of our proximal nailing surgery performed for reverse obliquity intertrochanteric fractures using two lag screws and evaluated the quality of the reduction, operative time, complications and functional status of the patients. Fifteen patients with AO/OTA 31 A-A3 fractures were treated by proximal femoral nailing in our trauma centre. The mean Harris hip score was 74.66 (range 65-96) and the mean Barthel activity score was 15.71 (range 12-20). The mean duration of surgery was 48 minutes and the average consolidation time was 8.6 weeks. No intraoperative complications or postoperative technical failures and no stress shielding as evidenced by the lack of cortical hypertrophy at the level of the tip of the implant were detected. Intramedullary nailing with proximal femoral nails may be a good option in the treatment of reverse obliquity intertrochanteric fractures.
authors.affiliation: Orthopaedic and Traumatology Department, Goztepe Research and Training Hospital, Istanbul, Turkey. korhanozkan@hotmail.com
authors.forename: Korhan
authors.initials: K
authors.lastname: Ozkan
authors.forename: Engin
authors.initials: E
authors.lastname: Eceviz
authors.forename: Koray
authors.initials: K
authors.lastname: Unay
authors.forename: Levent
authors.initials: L
authors.lastname: Tasyikan
authors.forename: Budak
authors.initials: B
authors.lastname: Akman
authors.forename: Abdullah
authors.initials: A
authors.lastname: Eren
mesh_terms: D000203:Activities of Daily Living; D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D001858:Bone Nails; D005260:Female; D005594:Fracture Fixation, Intramedullary / Q000295:instrumentation* / Q000379:methods*; D017102:Fracture Healing; D006304:Health Status; D006620:Hip Fractures / Q000000981:diagnostic imaging / Q000601:surgery*; D006801:Humans; D008297:Male; D008875:Middle Aged; D011183:Postoperative Complications; D011859:Radiography; D016059:Range of Motion, Articular; D016896:Treatment Outcome; D055815:Young Adult