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Unstable intertrochanteric fractures treated with the Variwall reconstruction nail
S S Seif-Asaad1, A V Nargol, A Port
1Orthopaedic Department, North Tyneside District General Hospital, Tyne & Wear, UK.
Injury
|July 1, 1995
Summary
The Variwall reconstruction nail offers stable fixation for complex unstable intertrochanteric fractures, demonstrating good clinical and radiological outcomes with minimal complications.
Area of Science:
- Orthopedic Surgery
- Trauma Surgery
- Biomedical Engineering
Background:
- Unstable intertrochanteric fractures present significant treatment challenges.
- High comminution and subtrochanteric extensions complicate fixation.
- Effective stabilization is crucial for optimal patient recovery.
Purpose of the Study:
- To evaluate the efficacy and safety of the Variwall reconstruction nail.
- To assess clinical and radiological outcomes in patients with unstable intertrochanteric fractures.
- To determine the complication rate associated with this fixation method.
Main Methods:
- Prospective study of 40 consecutive patients with unstable intertrochanteric fractures.
- Treatment with the Variwall reconstruction nail.
- Evaluation of operative time, follow-up duration, clinical outcomes, and radiological findings.
Main Results:
- Mean operative time was 58 minutes.
- 86% of patients reported minimal to no pain post-operatively.
- No external rotation deformities, non-unions, or shaft fractures observed.
- One failure and one case of shortening reported in 40 patients.
Conclusions:
- The Variwall reconstruction nail provides effective and stable fixation for unstable intertrochanteric fractures.
- This method demonstrates a low complication rate and good functional outcomes.
- The nail is relatively easy to use, contributing to favorable surgical results.