Document Detail


Stabilization of unstable intertrochanteric fractures with the proximal femoral nail.
MedLine Citation:
PMID:  23381739     Owner:  NLM     Status:  Publisher    
Abstract/OtherAbstract:
OBJECTIVE: Restoration of function and anatomy of the proximal femur. Possibility of full weightbearing after surgery. Less invasive intramedullary osteosynthesis. INDICATIONS: Unstable trochanteric fracture (AO classification 31-A2, 31-A3), subtrochanteric fracture (AO classification 32-A1), fracture of the femoral shaft in the proximal region. CONTRAINDICATIONS: Ipsilateral coxarthrosis, open growth plate, hip fracture. SURGICAL TECHNIQUE: Closed or open reduction on the extension table. Intramedullary reaming of the proximal femur, insertion of PFNA and blade as proximal locking screw, static or dynamic distal locking screw. Implantion of bone cement via blade, if necessary. POSTOPERATIVE MANAGEMENT: Weightbearing as limited by pain. Osteoporosis diagnostics and initiation of treatment, if necessary. RESULTS: The stabilization of trochanteric fractures is usually done with PFNA. Compared to other methods, e.g., DHS, fewer complications were observed with the PFNA. Subtrochanteric fractures were associated with higher complication rates compared to intertrochanteric fractures.
Authors:
S Sehmisch; J Rieckenberg; K Dresing
Publication Detail:
Type:  JOURNAL ARTICLE     Date:  2013-2-6
Journal Detail:
Title:  Operative Orthopadie und Traumatologie     Volume:  -     ISSN:  1439-0981     ISO Abbreviation:  Oper Orthop Traumatol     Publication Date:  2013 Feb 
Date Detail:
Created Date:  2013-2-5     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  9604937     Medline TA:  Oper Orthop Traumatol     Country:  -    
Other Details:
Languages:  GER     Pagination:  -     Citation Subset:  -    
Affiliation:
Abteilung Unfallchirurgie, Plastische und Wiederherstellungschirurgie, Universitätsmedizin Göttingen, Robert-Koch-Strasse 40, 37075, Göttingen, Deutschland, stephan.sehmisch@med.uni-goettingen.de.
Vernacular Title:
Osteosynthese von per- und subtrochantären Femurfrakturen mit dem proximalen Femurnagel.
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