The treatment of subtrochanteric fractures

Autor: Vučetić Čedomir S., Dulić Borislav V., Vukašinović Zoran S., Tulić Goran Dž., Kalezić Nevena K., Todorović Aleksandar J.
Jazyk: English<br />Serbian
Rok vydání: 2011
Předmět:
Zdroj: Srpski Arhiv za Celokupno Lekarstvo, Vol 139, Iss 7-8, Pp 540-547 (2011)
Druh dokumentu: article
ISSN: 0370-8179
DOI: 10.2298/SARH1108540V
Popis: Subtrochanteric fractures of the femur have a special place because of a significant number of complications following treatment. Powerful loading forces asymmetrically acting to this bone segment, as well as poor vascularization interfere with bone union. There are basically two current approaches in the fixation of subtrochanteric fractures; the first involves a plate with a compression screw and another one is intramedullary (IM) nail, with two options: centromedullary (standard interlocking femoral nail) and cephalomedullary femoral nail with two modifications, reconstructive and trochanteric. All IM nails may be used by open technique or closed minimal invasive method. IM nailing is favoured in view of a shorter operative time, shorter hospitalisation and complications. Indirect fracture reduction and knowledge of biology of bone fracture may result in full success without any bone graft.
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