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Subtrochanteric-intertrochanteric femoral fractures
The Orthopedic Clinics of North America
|January 1, 1987
Summary
Newer techniques effectively manage subtrochanteric fractures. Intramedullary nails suit intact proximal fragments, while screw-plate devices or Zickel nails are options for comminuted fractures.
Area of Science:
- Orthopedic Surgery
- Traumatology
Background:
- Subtrochanteric fractures are complex bone injuries.
- Effective management is crucial for patient outcomes.
Purpose of the Study:
- To outline current management strategies for subtrochanteric fractures.
- To differentiate treatment based on fracture characteristics.
Main Methods:
- Review of current orthopedic surgical techniques.
- Analysis of implant indications based on fracture patterns.
Main Results:
- Interlocking intramedullary nails are indicated for intact proximal fragments with the lesser trochanter.
- Screw-plate devices with bone graft or Zickel nails are suitable for inter-subtrochanteric comminution.
Conclusions:
- Subtrochanteric fracture management is guided by specific fracture patterns.
- Modern implants offer effective treatment options for these injuries.