title: [Stabilization of unstable intertrochanteric fractures with the proximal femoral nail].
abstract: OBJECTIVE
  Restoration of function and anatomy of the proximal femur. Possibility of full weightbearing after surgery. Less invasive intramedullary osteosynthesis.
  
  
  METHODS
  Unstable trochanteric fracture (AO classification 31-A2, 31-A3), subtrochanteric fracture (AO classification 32-A1), fracture of the femoral shaft in the proximal region.
  
  
  METHODS
  Ipsilateral coxarthrosis, open growth plate, hip fracture.
  
  
  METHODS
  Closed or open reduction on the extension table. Intramedullary reaming of the proximal femur, insertion of PFNA and blade as proximal locking screw, static or dynamic distal locking screw. Implantion of bone cement via blade, if necessary.
  
  
  METHODS
  Weightbearing as limited by pain. Osteoporosis diagnostics and initiation of treatment, if necessary.
  
  
  RESULTS
  The stabilization of trochanteric fractures is usually done with PFNA. Compared to other methods, e.g., DHS, fewer complications were observed with the PFNA. Subtrochanteric fractures were associated with higher complication rates compared to intertrochanteric fractures.
authors: Abteilung Unfallchirurgie, Plastische und Wiederherstellungschirurgie, Universitätsmedizin Göttingen, Robert-Koch-Strasse 40, 37075, Göttingen, Deutschland. stephan.sehmisch@med.uni-goettingen.de
authors: S
authors: S
authors: Sehmisch
authors: J
authors: J
authors: Rieckenberg
authors: K
authors: K
authors: Dresing
mesh_terms: D000293:Adolescent; D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D001858:Bone Nails; D005260:Female; D005264:Femoral Fractures / Q000601:surgery*; D005270:Femur Head / Q000601:surgery*; D005593:Fracture Fixation, Internal / Q000295:instrumentation* / Q000379:methods; D006801:Humans; D007593:Joint Instability / Q000601:surgery*; D008297:Male; D008875:Middle Aged; D016896:Treatment Outcome; D055815:Young Adult
references: Chirurg. 2005 Jan;76(1):10-8
references: 15551009
references: Unfallchirurg. 2007 Jul;110(7):603-9
references: 17503010
references: Injury. 2009 Jul;40(7):692-7
references: 19450802
references: Unfallchirurg. 2011 Jun;114(6):470-8
references: 21626197