Transosseous osteosynthesis in fractures of the trochanteric region of the femur

Abstract

In 97 patients with fractures of femoral trochanteric zone the treatment was performed by transosseous osteosynthesis using Gorodnichenko rod device. The number of inserted rods depended on fracture pattern as well as presence or absence of osteoporosis. Experimental biomechanic study showed the firmness and stability of fixation achieved. Elaborated surgical technique ensured the precision of rods insertion, minimum traumatization of the surrounding soft tissues and bone, thus providing significant decrease of blood loss and shortening the duration of operation. In all patients including the elderly and senile patients aggravated by concomitant diseases the results were favourable. Good results were achieved in 84,5% and satisfactory in 15,5%) of cases.