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[Experience with Ender nailing in 671 cases].

T Herzog1, I Schneider, H Schmid

  • 1Unfallchirurgische Abteilung, Chirurgischen Klinik mit Poliklinik, Universität Erlangen-Nürnberg.

Unfallchirurgie
|June 1, 1991
PubMed
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Ender nailing for femur fractures showed significant complication rates (12.2% postoperative, 8.5% reoperation). This surgical technique is now reserved for specific cases like skin lesions or pathological fractures.

Area of Science:

  • Orthopedic Surgery
  • Trauma Management

Background:

  • The trochanteric region of the femur is a common fracture site.
  • Ender nailing was a frequently used fixation method for these fractures.

Purpose of the Study:

  • To evaluate the complication rates associated with Ender nailing for trochanteric femur fractures.
  • To redefine the indications for Ender nailing based on complication data.

Main Methods:

  • Retrospective review of 671 trochanteric femur fractures treated with Ender nailing between 1976 and 1987.
  • Analysis of intraoperative, postoperative complications, and reoperation rates.

Main Results:

  • A total of 671 fractures were analyzed.
  • Intraoperative complications occurred in 8.0% of cases, and postoperative complications in 12.2%.

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  • Reoperation was necessary for 8.5% of patients.
  • Conclusions:

    • The high complication rate suggests limited utility for Ender nailing.
    • Current indications are restricted to patients with skin lesions, valgus angulation, or pathological fractures.