title: Surgical treatment of basicervical intertrochanteric fractures of the proximal femur with cephalomeduallary hip nails.
abstract: OBJECTIVE
  To study the outcome of basicervical intertrochanteric fractures of the proximal femur treated with cephalomeduallary hip nails.
  
  
  METHODS
  The clinical outcomes of 32 cases of basicervical intertrochanteric fractures treated with cephalomeduallary hip nails from January 2008 to June 2010 were retrospectively reviewed and the progress of fracture healing and occurrence of complications recorded. The function of the hip joints was evaluated by the Harris social index 2 years postoperatively.
  
  
  RESULTS
  Thirty patients were followed up until fracture union for at least 24 months. Twenty-seven fractures had healed with no loss of position by 12 months postoperatively; the remaining three had mild varus deformity of the hip joint. No patient had evidence of avascular necrosis of the femoral head. No cut out of the helical blade was visible on radiographs. The mean Harris score was 86.5 (75-96) two years postoperatively, 11 patients having excellent scores, 15 good and 4 fair.
  
  
  CONCLUSIONS
  Closed reduction and proximal femur intramedullary nail fixation for basicervical intertrochanteric fractures provides stable fixation and allows early exercise. It appears to have excellent outcomes in the short and medium term.
authors: Department of Orthopaedics, Tongji Hospital of Tongji University, Shanghai, China.
authors: Sun-jun
authors: SJ
authors: Hu
authors: Guang-rong
authors: GR
authors: Yu
authors: Shi-min
authors: SM
authors: Zhang
mesh_terms: D000328:Adult; D000368:Aged; D001858:Bone Nails; D005260:Female; D005500:Follow-Up Studies; D005594:Fracture Fixation, Intramedullary / Q000009:adverse effects / Q000295:instrumentation* / Q000379:methods / Q000534:rehabilitation; D017102:Fracture Healing; D006620:Hip Fractures / Q000000981:diagnostic imaging / Q000534:rehabilitation / Q000601:surgery*; D006801:Humans; D008297:Male; D008875:Middle Aged; D017060:Patient Satisfaction; D011859:Radiography; D020127:Recovery of Function; D012189:Retrospective Studies; D016896:Treatment Outcome
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