Clinical Study of Proximal Femoral Interlocking Intramedullary Nail in the Treatment of Proximal Femoral Fractures in the Elderly

2019 ◽  
Vol 08 (02) ◽  
pp. 44-50
Author(s):  
少林 王
Injury ◽  
2020 ◽  
Vol 51 (3) ◽  
pp. 678-682 ◽  
Author(s):  
Kazuma Takashima ◽  
Ichiro Nakahara ◽  
Keisuke Uemura ◽  
Hidetoshi Hamada ◽  
Wataru Ando ◽  
...  

Injury ◽  
2006 ◽  
Vol 37 (2) ◽  
pp. 185-189 ◽  
Author(s):  
R. Chana ◽  
A. Noorani ◽  
N. Ashwood ◽  
U. Chatterji ◽  
J. Healy ◽  
...  

Injury Extra ◽  
2007 ◽  
Vol 38 (4) ◽  
pp. 127-128
Author(s):  
A. Torbergsen ◽  
G. Sing ◽  
E. Rooyen ◽  
T. Bøhmer ◽  
K. Strømsøe

Injury ◽  
2011 ◽  
Vol 42 (11) ◽  
pp. 1205-1213 ◽  
Author(s):  
Lynn Hutchings ◽  
Rebecca Fox ◽  
Tim Chesser

Author(s):  
B. L. Chopra ◽  
Krishan Kumar ◽  
B. L. Khajotia ◽  
Ravindra Bhambu ◽  
Sunil Bhatiwal ◽  
...  

<p class="abstract"><strong>Background:</strong> <span lang="EN-IN">Fractures of the proximal femur are relatively common injuries in adults and common source of morbidity and mortality among the elderly. Fractures of the proximal femur include trochantric and subtrochantric fractures. The present study was designed to evaluate and analyze the role of proximal femoral nail (PFN) in the treatment of proximal femoral fractures.</span></p><p class="abstract"><strong>Methods:</strong> <span lang="EN-IN">It was a prospective study on 125 cases of proximal femoral fractures. The fractures were classified according to AO classification. Salvati and Wilson Score were used for functional assessment</span>.<strong></strong></p><p class="abstract"><strong>Results:</strong> <span lang="EN-IN">In this study at 6 months follow up, union was achieved in 123 cases, open reduction was performed in 11% of cases (14 cases). Technical and mechanical complications were noted in 21% cases (27 cases). Reoperation rate was 4% (Five cases). According to Salvati and Wilson scoring system excellent results were seen in 36% of cases (45 cases), good results in 46% cases (58 cases), fair result in 13% cases (16 cases) and poor results in 5% cases (6 cases)</span><span lang="EN-IN">. </span></p><p class="abstract"><strong>Conclusions:</strong> <span lang="EN-IN">It is concluded from our study that proximal femoral nailing is an attractive and suitable implant for Proximal Femoral Fractures and its use in unstable intertrochantric fractures is very encouraging</span><span lang="EN-IN">.</span></p>


2021 ◽  
Vol 8 ◽  
Author(s):  
Christian Macke ◽  
Maic Werner ◽  
Lambert Herold ◽  
Olaf Krause ◽  
Tilmann Graulich ◽  
...  

Background: Due to demographic changes, proximal femoral fractures (PFF) in the elderly rise constantly. The standard diagnostic tool is still the X-ray of the pelvis/hip in two planes. Our hypothesis was that the lateral-view X-ray has little influence on classification, planning of the operative procedure, and choice of implant in geriatric patients.Methods: Retrospective analysis of all initial X-rays of PFF in geriatric patients (≥70 years) from May 2018 until August 2019 in a Level I Trauma center. Three experienced consultants categorized the fractures on the ap pelvis view and performed Garden and Pauwels classification as well as a two-staged classification displaced/nondisplaced [for femoral neck fractures (FNF)] or AO Classification [for intertrochanteric fractures (ITF)]. Afterward, they decided the operative strategy as well as implant choice [dynamic hip screw (DHS), intramedullary nail (IMN), or arthroplasty]. After 4 weeks, they categorized all fractures again with now available lateral view X-rays in a different order.Results: Two hundred seven patients (146 female, 61 male; 70.5 vs. 29.5%) with 90 FNF and 117 ITF (43.5 vs. 56.5%) could be included. Age was 84.6 ± 6.9 years. The treatment was in 45 cases DHS, in 82 cases IMN, and for the other 80 cases arthroplasty. The interobserver reliability of the classifications were poor, except for the two-staged classification [Fleiss-κ ap view only = 0.708 (CI 95% 0.604, 0.812) vs. additional lateral = 0.756 (CI 95% 0.644, 0.869)]. Moreover, independent from the classification, there were no significant changes in management and choice of implant with additional lateral view.Conclusions: Regarding our results, we consider the lateral view dispensable for standard X-ray of displaced PFF in geriatric patients. In nondisplaced fractures, it could be added secondary.


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