Trochanteric-Entry Long Cephalomedullary Nailing of Subtrochanteric Fractures Caused by Low-Energy Trauma

2005 ◽  
Vol 87 (10) ◽  
pp. 2217 ◽  
Author(s):  
C. Michael Robinson
2019 ◽  
Vol 68 ◽  
pp. 1-7
Author(s):  
Pavel Mukherjee ◽  
Jan Egil Brattgjerd ◽  
Sanyalak Niratisairak ◽  
Jan Rune Nilssen ◽  
Knut Strømsøe ◽  
...  

2017 ◽  
Vol 31 (6) ◽  
pp. 305-310 ◽  
Author(s):  
Lorraine C. Stern ◽  
John T. Gorczyca ◽  
Stephen Kates ◽  
John Ketz ◽  
Gillian Soles ◽  
...  

Author(s):  
Julia Rehme ◽  
Alexander Woltmann ◽  
Andreas Brand ◽  
Christian von Rüden

Abstract Purpose The aim of this study was to assess functional and radiological results following cephalomedullary nailing with and without use of auxiliary cable cerclages in a large series of trochanteric and subtrochanteric femoral fractures. Methods In a retrospective study of prospectively collected data between January 2014 and March 2019, a total of 260 consecutive patients (155 women and 105 men) with the diagnosis of AO/OTA A1 to A3 fractures were included. The mean age of patients was 76.4 ± 15.6 years. According to the AO/OTA classification, 72 A1 fractures, 124 A2 fractures, and 64 A3 fractures were found. In 72 patients with auxiliary cerclage wiring three A1 fractures, 27 A2 fractures and 42 A3 fractures were assessed. In the patient group with auxiliary cerclages, fracture healing according to the Radiographic Union Score for Hip (RUSH) within one year after surgery was assessed in 68 out of 72 patients (healing rate 94%). The mean RUSH in the group with cerclages was 28.7 ± 2.2 points and was 28.5 ± 2.2 points in the group without cerclages (p = 0.72). In 91 patients available for a complete follow-up, mean functional outcome according to the Lower Extremity Functional Scale (LEFS) was 65.3 ± 17.2 points in the group with cerclages versus 58.4 ± 21 points in the group without cerclages (p = 0.04). Conclusion The additional use of cerclages provides intrinsic stability and enables axial alignment and medial cortical support during anatomical fracture reduction and cephalomedullary nail insertion. In the current study, this technique resulted in significantly better functional long-term outcomes than without cerclages. Therefore, it can be recommended as a useful supportive tool especially in comminuted trochanteric and subtrochanteric fractures. Trial registration number DRKS00020550, 01/30/2020, retrospectively registered.


2021 ◽  
Author(s):  
Shi‐Jie Kang ◽  
Fei‐Long Bao ◽  
Dong‐Sheng Huang ◽  
Tao Jiang ◽  
Yi‐Ming Hu ◽  
...  

Injury ◽  
2021 ◽  
Author(s):  
Dr. Ashok Gavaskar ◽  
Dr. Parthasarathy Srinivasan ◽  
Dr. Balamurugan J ◽  
Dr. Rufus V Raj ◽  
Dr. Krishna Sagar ◽  
...  

1993 ◽  
Vol 34 (1) ◽  
pp. 56-61 ◽  
Author(s):  
Arun B. Mullaji ◽  
D Orth ◽  
M S Orth ◽  
DNB Orth ◽  
Tudor L. Thomas

Author(s):  
A. Garg ◽  
W.A.T. Clark ◽  
J.P. Hirth

In the last twenty years, a significant amount of work has been done in the theoretical understanding of grain boundaries. The various proposed grain boundary models suggest the existence of coincidence site lattice (CSL) boundaries at specific misorientations where a periodic structure representing a local minimum of energy exists between the two crystals. In general, the boundary energy depends not only upon the density of CSL sites but also upon the boundary plane, so that different facets of the same boundary have different energy. Here we describe TEM observations of the dissociation of a Σ=27 boundary in silicon in order to reduce its surface energy and attain a low energy configuration.The boundary was identified as near CSL Σ=27 {255} having a misorientation of (38.7±0.2)°/[011] by standard Kikuchi pattern, electron diffraction and trace analysis techniques. Although the boundary appeared planar, in the TEM it was found to be dissociated in some regions into a Σ=3 {111} and a Σ=9 {122} boundary, as shown in Fig. 1.


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