A study of 44 patients with subtrochanteric fractures treated using long nail and cerclage cables

Objective This study aims to demonstrate that the use of long cephalomedullary nail and cerclage cables represents a good strategy in order to reduce the high risk of nonunion of the most displaced subtrochanteric fractures. Methods This retrospective study examines 44 patients with average follow-u...

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Bibliographic Details
Published in:Musculoskeletal surgery 2015-12, Vol.99 (3), p.225-230
Main Authors: Persiani, P., Noia, G., de Cristo, C., Graci, J., Gurzì, M. D., Villani, C.
Format: Article
Language:English
Subjects:
Adult
Aged
Aged, 80 and over
Bone Nails
Bone Wires
Female
Follow-Up Studies
Fracture fixation
Fracture Fixation, Intramedullary - methods
Fracture Healing
Hip Fractures - surgery
Humans
Male
Medical research
Medicine
Medicine & Public Health
Medicine, Experimental
Middle Aged
Original Article
Orthopedics
Retrospective Studies
Surgical Orthopedics
Treatment Outcome
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Summary:Objective This study aims to demonstrate that the use of long cephalomedullary nail and cerclage cables represents a good strategy in order to reduce the high risk of nonunion of the most displaced subtrochanteric fractures. Methods This retrospective study examines 44 patients with average follow-up of 23 months, with subtrochanteric fracture type SH IIB, IIC, IIIA, IIIB treated by the same operator and with the same nail and cerclage cables. The clinical results which are derived from THRS have been reported. Results Clinical and radiological consolidation occurred in all 44 cases, without re-intervention. The average evaluation derived from the THRS was 48 which corresponds to good, according to the scale. Conclusions Considering the anatomic reduction achieved in all patients and the clinical results, we can define the use of long cephalomedullary nail and cerclage cables as the most useful technique in the armamentarium of a trauma surgeon for the treatment of the subtrochanteric fractures.
ISSN:2035-5106
2035-5114
DOI:10.1007/s12306-015-0385-9