Article: article from journal or magazin.
Review (review): journal as complete as possible of one specific subject, written based on exhaustive analyses from published work.
Use of trochanteric nail for proximal femoral extracapsular fractures.
Publication types: Journal Article - Publication Status: ppublish
Proximal femoral extracapsular fractures have shown a significantly high morbidity and mortality rate at 1 year in cases of nonoperative treatment. The standard gamma nail was originally designed to provide stable fixation and allow early mobilization and weight bearing for elderly patients. The design of the standard gamma nail, however, appears to be associated with intraoperative or postoperative femoral shaft fractures in < or = 17% of patients, compromising the outcome. The trochanteric nail was developed to overcome the problems encountered with the use of the standard gamma nail. Between July 2000 and January 2001, 88 consecutive proximal femoral extracapsular fractures were treated with a trochanteric nail, Seventy-five patients (76 fractures) were observed clinically and radiographically for 2 years.
Adult, Aged, Aged, 80 and over, Bone Nails, Female, Femoral Fractures, Follow-Up Studies, Fracture Fixation, Internal, Humans, Male, Middle Aged, Prosthesis Design, Retrospective Studies, Treatment Outcome
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