Stabilisation of acute femoral fractures in Paget's disease
| Autor: | D. L. Shardlow, P.V. Giannoudis, R.M. Smith, S. J. Matthews |
|---|---|
| Rok vydání: | 2000 |
| Předmět: |
medicine.medical_specialty
Bone disease law.invention Intramedullary rod law Fracture fixation medicine Deformity Humans Orthopedics and Sports Medicine Femur Fat embolism Aged Retrospective Studies Aged 80 and over Original Paper Osteosynthesis business.industry medicine.disease Osteitis Deformans Surgery Fracture Fixation Intramedullary Treatment Outcome Orthopedic surgery Acute Disease medicine.symptom business Femoral Fractures |
| Zdroj: | International orthopaedics. 23(5) |
| ISSN: | 0341-2695 |
| Popis: | Eleven cases of acute femoral fractures in patients with Paget’s disease are presented following stabilisation with the solid AO femoral nail. In three cases with severe deformity of the femur, reaming was required to enable implant insertion. No corticotomies were required. The median operation time was 55 (35–65) min. There was no operative mortality and no patient developed signs of acute respiratory distress syndrome/fat embolism. Skeletal stability was achieved in all cases. The reconstruction proximal locking option (spiral blade) was utilised in ten of the eleven cases. In all cases a 9 mm nail was inserted. One patient (pagetic sarcoma) died 23 months after surgery. Ten of the eleven fractures healed uneventfully. The mean time to union was 32 (26–42) weeks. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
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