Management of subtrochanteric femoral fractures and metastases using long proximal femoral nail

Ramakrishnan, M.; Prasad, Sirikonda Siva; Parkinson, R.W.; Kaye, J.C.

doi:10.1016/s0020-1383(03)00101-3

Cited by 46 publications

(57 citation statements)

References 17 publications

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“…The mean number of radiation exposures was 12 (range, [8][9][10][11][12][13][14][15][16]. The mean time to full weight bearing was 11 (range, [8][9][10][11][12][13][14][15][16][17][18][19] weeks. The mean follow-up period was 25 (range, 18-30) months.…”

Section: Resultsmentioning

confidence: 99%

“…26 Good results have been reported in elderly patients after intramedullary fixation. 9 Indirect reduction and mini-incision plating is a reliable alternative in subtrochanteric fractures even in the elderly.…”

Section: Discussionmentioning

confidence: 99%

“…7 Intramedullary devices require less surgical exposure, enable early weight bearing, achieve better proximal fixation, and exert less biomechanical stresses (as the lever arm is moved medially). [9][10][11] However, they are not suitable for subtrochanteric fractures with intertrochanteric extension and are associated with technical difficulties in up to 63% of cases. 12,13 Reconstruction nailing is technically demanding; plate and screw fixation is probably the best option.…”

Section: Introductionmentioning

confidence: 99%

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Mini-Incision Dynamic Condylar Screw Fixation for Comminuted Subtrochanteric Hip Fractures

Rohilla

Singh

Magu

et al. 2008

J Orthop Surg (Hong Kong)

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Purpose. To review the results of indirect reduction and mini-incision dynamic condylar screw (DCS) fixation for comminuted subtrochanteric femoral fractures. Methods. 29 men and 14 women aged 25 to 65 (mean, 44) years with comminuted subtrochanteric femoral fractures underwent indirect reduction and mini-incision DCS fixation. Fractures were classified according to the AO classification (10 type 32B and 33 type 32C) and Seinsheimer classification (6 type III, 15 type IV, and 22 type V). Functional outcomes were assessed using the Harris hip score and Merle d'Aubigne score. Results. The mean time to full weight bearing was 11 (range, 8-19) weeks. The mean time to union was 16 (range, 13-22) weeks. There were no cases of non-union or implant failure after a mean follow-up period of 25 (range, 18-30) months. Seven patients had a mean limb length discrepancy of 1.5 (range, 1-2) cm. Two patients had coxa vara and persistent limp. Conclusion.Results of indirect reduction and miniincision DCS fixation for comminuted subtrochanteric femoral fractures are favourable. Proper planning and execution of the technique is required to achieve good functional outcomes and avoid complications. Preservation of vascularity of the medial fragments leads to rapid callus formation and early union and hence avoids implant failure and secondary bone grafting.

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Section: Resultsmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Mini-Incision Dynamic Condylar Screw Fixation for Comminuted Subtrochanteric Hip Fractures

Rohilla

Singh

Magu

et al. 2008

J Orthop Surg (Hong Kong)

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“…In 2004 Borens et al [28] published an implant-related failure rate of 2.2% in 90 patients treated with long gamma nail ( Figure 5). In contra, Ramakrishnan et al [29] had no mechanical failures related to the long PFN in his series with 52 subtrochanteric fractures.…”

Section: Subtrochanteric Femoral Fracturesmentioning

confidence: 87%

Intramedullary Stabilization of Proximal Femoral Fractures

Hajdu

Vécsei

2007

Eur J Trauma Emerg Surg

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For nearly 40 years, extramedullary stabilization using the sliding hip screw and plate has been the standard fixation method for proximal femoral fractures. In patients with stable fractures, this device produces excellent results. However, in patients with unstable fractures, the sliding hip screw and plate is associated with an increased prevalence of complications, particularly cut-out, medialization of the shaft, shortening, and subsequent loss of reduction. For these reasons, there has been a sustained interest in the use of an intramedullary nail to treat proximal femoral fractures. However, intramedullary methods of therapy for trochanteric fractures require extensive operative experience. The incidence of complications, e.g. cut-out, femoral shaft fractures, and the learning curve has resulted in a loss off popularity of these devices in the past. The aim of this overview is to analyze and record the current standards by means of recent papers and to present the experience after intramedullary stabilization of more than 3,000 patients with proximal femoral fractures at our level I trauma center.

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“…11 But the operative technique of proximal femoral nailing for sub trochanteric fractures has a steep learning curve. 12,13 This study has been conceived to study the functional outcome and complications, if any, with the use of PFN in the management of sub trochanteric fractures; and report our experience about the same.…”

Section: Introductionmentioning

confidence: 99%

Our experience of management of sub trochanteric fractures of femur by proximal femoral nail

Batra¹,

Singh

Challa³

et al. 2015

Int J Res Med Sci

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Management of subtrochanteric femoral fractures and metastases using long proximal femoral nail

Cited by 46 publications

References 17 publications

Mini-Incision Dynamic Condylar Screw Fixation for Comminuted Subtrochanteric Hip Fractures

Mini-Incision Dynamic Condylar Screw Fixation for Comminuted Subtrochanteric Hip Fractures

Intramedullary Stabilization of Proximal Femoral Fractures

Our experience of management of sub trochanteric fractures of femur by proximal femoral nail

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