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[Various possibilities for managing subtrochanteric fractures]

H Bülhoff1, A Dávid, A Ekkernkamp

  • 1Chirurgische Universitätsklinik und Poliklinik, BG-Kliniken Bergmannsheil, Bochum.

Zentralblatt Fur Chirurgie
|January 1, 1995
PubMed
Summary

Subtrochanteric fractures require stable fixation. While the 95-degree condylar plate is common, newer intramedullary nails with twisted plates show promise for immediate weight-bearing after surgery.

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Area of Science:

  • Orthopedic surgery
  • Traumatology

Background:

  • Subtrochanteric fractures are inherently unstable, necessitating robust surgical stabilization.
  • Open reduction and internal fixation (ORIF) using a 95-degree condylar plate is a standard treatment.
  • Alternative fixation devices include the gamma nail and novel intramedullary nails with twisted plates.

Purpose of the Study:

  • To compare the efficacy and outcomes of different fixation methods for subtrochanteric fractures.
  • To evaluate the potential of a new intramedullary nail with a twisted plate for early weight-bearing.

Main Methods:

  • Review of current surgical techniques for subtrochanteric fracture fixation.
  • Analysis of literature regarding the 95-degree condylar plate, gamma nail, and intramedullary nail with a twisted plate.

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  • Assessment of reported complication rates and functional outcomes, including immediate postoperative weight-bearing capabilities.

    • Main Results:

    • The 95-degree condylar plate is a widely adopted method for fracture stabilization.
    • The gamma nail has associated complications that limit its widespread use.
    • Preliminary data for the intramedullary nail with a twisted plate suggest encouraging outcomes, including the potential for immediate postoperative weight bearing.

    Conclusions:

    • The intramedullary nail with a twisted plate presents a promising alternative for subtrochanteric fracture treatment.
    • Further clinical investigation and data are required to validate the safety and efficacy of the intramedullary nail with a twisted plate before widespread adoption.