Intramedullary nail fixation of intertrochanteric fractures
Journal Title: Postępy Nauk Medycznych - Year 2010, Vol 23, Issue 2
Abstract
Intertrochnateric fractures are located in the proximal femur. They dominate in elderly, are result of low-energy trauma and most frequently may happen among women. Noteworthy, intertrochanteric is a criterion of osteoporosis. Such fractures may happen in young individuals, but are result of high-energy trauma and usually are a part of polytrauma. Based on the survival rates, for many years trochanteric fractures were called last fractures in life”. The advances in medical sciences (namely: medicine, anesthesia and critical care), medial engineering and surgical techniques are offering opportunities to successfully treat this type of fracture. They also give possibilities for quicker recovery and return to pre-fracture activity level. Despite the progress the mortality rate in the first year after incidence is still high and averages about 30%. Additionally, considering the age of patients and comorbidities the complications are not uncommon. In our clinic we treat on average 220 patients with intertrochanteric fracture. Almost all patients are treated within first few days after admission and fracture fixation is performed with gamma nail. In our article we presented the intramedullary nail fixation for trochanteric fractures. We focused on intramedullary nail fixation and we compared this method with other types of fixation. We also analyze complications.
Authors and Affiliations
Rafał Kamiński, Cezary Walczyński, Maciej Makowski, Bogumił Leszczyński, Andrzej Suwara, Marcin Wąsowski, Waldemar Rylski, Stanisław Pomianowski
Keywords
Related Articles
- EP ID EP53836
- DOI -
- Views 178
- Downloads 0
Heart failure confers a hypercoagulable state and increased blood platelets activity. How to prevent and treat?
Heart failure has long been recognized to predispose to thromboembolic events (including stroke, peripheral, and pulmonary emboli). Poor contractility, low cardiac output, dilated chambers, atrial fibrillation, usually a...
Prewencja i leczenie osteoporozy a kamica układu moczowego
Sugerowano, że stosowanie wapnia i witaminy D, które są podstawowymi elementami prewencji i terapii osteoporozy, może zwiększać ryzyko powstawania złogów w układzie moczowym. Liczne badania dowodzą jednak, że właściwa po...
Przydatność ultrasonograficznego monitorowania płodu u ciężarnej z chorobą Gravesa i Basedowa. Opis przypadku
Choroba Gravesa i Basedowa u ciężarnej i utrzymywanie się podwyższonego stężenia przeciwciał stymulujących receptor TSH oraz leczenie tyreostatykami mogą spowodować zaburzenia czynności tarczycy u płodu. Ryzyko płodowej...
Stentgraft implantations in patients with angulated neck of AAA – procedure planning, outcomes and complications
<b>Introduction.</b> It was noticed from the beginning of the use of stentgrafts for AAA treatment, that aneurysms’ neck is the main risk factor for unsuccessful procedure (endol...
Complex treatment of congenital pseudarthrosis of the tibia with periosteal grafting and intramedullary fixation
<b>Introduction.</b> In the last years to improve the outcomes of congenital pseudarthrosis of the tibia (CPT) treatment, new procedures were added to the standard: periosteal grafting, bone m...