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Compression hip screw nail-plate system for intertrochanteric fractures
P Maniscalco1, F Rivera, C Bertone
1Orthopaedic and Traumatologic Clinic, Department of Radiological and Orthopaedic- Rehabilitation Sciences, University of Siena, Siena, Italy. maniscalco@unisi.it
Panminerva Medica
|May 29, 2002
Summary
This study evaluated a new compression hip nail-plate system for treating proximal femur fractures in elderly patients. The system demonstrated effective clinical and radiographic healing within three months for 49 patients.
Area of Science:
- Orthopedic Surgery
- Traumatology
- Geriatric Medicine
Background:
- Rising incidence of proximal femur fractures due to aging population.
- Surgical intervention is often necessary for elderly patients with poor physical condition.
Purpose of the Study:
- To evaluate the efficacy of a novel compression hip nail-plate system for peritrochanteric fractures.
- To assess the outcomes of using a dynamic cephalic screw with adjustable sliding for fracture stabilization.
Main Methods:
- A cohort of 56 patients with peritrochanteric fractures were treated with the compression hip nail-plate system in 1999.
- The system features a dynamic cephalic screw with limited sliding (max 10mm) and a 9mm cannulated nail for insertion without reaming.
- Surgical technique allowed for intraoperative adjustment between plate or nail fixation.
Main Results:
- Seven patients were excluded due to short follow-up, loss to follow-up, or death.
- The remaining 49 patients achieved successful clinical and radiographic bone healing within three months post-surgery.
Conclusions:
- The compression hip nail-plate system provides a versatile solution for peritrochanteric fractures.
- The ability to combine the screw with either a plate or nail offers surgeons flexibility, including intraoperative modification of the fixation choice.