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Related Concept Videos

Fractures: Bone Repair01:27

Fractures: Bone Repair

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Treatment for a fracture is based on the type of break, the bone affected, and the patient's age.
Minor fractures with no bone displacement are treated by immobilizing the fractured bone using a cast or splint. However, in the case of fractures with displaced bones, the broken bones are repositioned before immobilization to ensure successful healing without deformation and loss of function. The realignment of fractured bone ends is performed through a process called reduction. If the...
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Treatment with Locking Intramedullary Nailing for Intertrochanteric Fracture of the Femur Utilizing a New Awl with a Distal Positioner
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[Pertrochanteric fracture - operation for beginners?].

A Prokop1, R Dolezych2, M Chmielnicki1

  • 1Klinik für Unfall-, Hand- und Wiederherstellungschirurgie, Kliniken Sindelfingen, Klinikverbund Südwest.

Zeitschrift Fur Orthopadie Und Unfallchirurgie
|December 23, 2014
PubMed
Summary

Nail fixation for pertrochanteric femur fractures is a suitable beginner procedure for surgical trainees. Complex fractures require experienced staff surgeons, but trainee experience does not impact complication rates or mortality.

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Area of Science:

  • Orthopedic surgery
  • Trauma surgery

Context:

  • Pertrochanteric proximal femur fractures are common in patients over 65.
  • Internal fixation with nailing is a standard treatment approach.

Purpose:

  • To evaluate nail fixation as a surgical training procedure for pertrochanteric femur fractures.

Summary:

  • A study of 210 patients showed that surgical trainees performed nail fixation for pertrochanteric fractures in 66% of cases.
  • Operative times were similar for trainees (45 minutes) and staff surgeons (67 minutes for complex cases).
  • Complication rates and mortality were not significantly different between trainee and staff surgeon groups.

Impact:

  • Nail fixation is a safe and effective procedure for surgical training in managing pertrochanteric femur fractures.
  • Complex fractures should be managed by experienced surgeons, while simpler cases are suitable for trainees.
  • Surgeon experience does not influence mortality; comorbidity and preoperative duration are key factors.