[The treatment of subtrochanteric fractures].

Abstract:

: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.

journal_name

Srp Arh Celok Lek

authors

Vučetić CS,Dulić BV,Vukašinović ZS,Tulić GD,Kalezić NK

doi

10.2298/sarh1108540v

subject

Has Abstract

pub_date

2011-07-01 00:00:00

pages

540-7

issue

7-8

eissn

0370-8179

issn

2406-0895

journal_volume

139

pub_type

杂志文章,评审
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