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Subtrochanteric fracture: fixation using the AO tibial nail
B Mahaisavariya1, S Kesprayura, W Laupattarakasem
1Srinagarind Hospital, Khon Kaen University, Thailand.
Injury
|January 1, 1992
Summary
This study presents a novel fixation method for subtrochanteric fractures using the AO tibial nail. The technique demonstrated effective healing and early ambulation, with manageable complications in most cases.
Area of Science:
- Orthopedic Surgery
- Trauma Management
Background:
- Subtrochanteric fractures are complex injuries requiring stable fixation.
- Traditional fixation methods may have limitations.
Purpose of the Study:
- To evaluate the efficacy of the AO tibial nail as an alternative fixation for pure uncomminuted subtrochanteric fractures.
Main Methods:
- Utilized the AO tibial nail for fixation in 24 cases of subtrochanteric fractures.
- Included both non-pathological and pathological fracture types.
- Bone cement was used in pathological cases to address bone defects.
Main Results:
- No intraoperative complications were observed in 24 fractures.
- 18 non-pathological fractures healed within 4 months.
- Minor complications included malrotation and varus angulation; two pathological fractures allowed early ambulation.
Conclusions:
- The AO tibial nail offers a viable alternative fixation for subtrochanteric fractures.
- This method shows potential for good healing and early weight-bearing, even in complex cases.