Use of blocking screws in intramedullary fixation of subtrochanteric fractures
| Autor: | Anna Katsman, Nirav H. Amin, Douglas L. Cerynik, Rajit Chakravarty, Susan P. Harding |
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| Rok vydání: | 2011 |
| Předmět: |
musculoskeletal diseases
medicine.medical_specialty Femur fracture education.field_of_study Proximal femur business.industry Population musculoskeletal system Stable fixation law.invention Surgery Intramedullary rod Fixation (surgical) law medicine Subtrochanteric Fractures Orthopedics and Sports Medicine Femur business education |
| Zdroj: | European Journal of Orthopaedic Surgery & Traumatology. 22:703-707 |
| ISSN: | 1432-1068 1633-8065 |
| DOI: | 10.1007/s00590-011-0898-3 |
| Popis: | Intramedullary fixation is the mainstay of treatment for femur fractures in the adult trauma population. With subtrochanteric fractures, accurate reduction and stable fixation become technically challenging. Adjuvant blocking screws in the proximal fragment can effectively be used to prevent varus and apex anterior malalignment when intramedullary nails are used in these fractures. Blocking screws decrease the canal volume, thereby allowing the intramedullary device to control the proximal segment. This aids in improving alignment between the proximal and distal fragments during reduction. We review the cases of six patients with proximal femur fractures who were treated with intramedullary nailing in conjunction with the placement of blocking screws. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
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