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 168
- Downloads 0
SM u osób starszych (SM o późnym początku)
Mianem stwardnienia rozsianego o późnym początku określa się te przypadki choroby, które rozpoczynają się w wieku powyżej 50 roku życia. Z tego typu rozpoznaniem mamy do czynienia w 4-9,6% przypadków. SM o późnym początk...
Renal artery stenosis of the transplanted kidney as a cause of posttransplant arterial hypertensionRenal artery stenosis of the transplanted kidney as a cause of posttransplant arterial hypertension
Hypertension after kidney transplantation is a very common disease and its etiology is usually complex. One of the causes of hypertension after kidney transplantation is transplanted renal artery stenosis (TRAS). The cli...
Czy rzeczywiście istnieje epidemia autyzmu?
Zaburzenie autystyczne, zaburzenie Aspergera i całościowe zaburzenie rozwoju – nieokreślone inaczej należą do grupy spektrum zaburzeń autystycznych (autism spectrum disorders, ASD). W ciągu ostatnich 25 lat zaobserwowano...
A brief history of the artificial oesophagus
Despite the progress in diagnostics procedures, oesophageal cancer is often diagnosed in its late stages. Because of the advanced stage at which it usually presents, treatment of carcinoma of the oesophagus is just palli...
Platelets estimation after cryopreservation
Introduction. Platelet concentrates are essential for treating bleedings in patients with thrombocytopenia in order to prevent spontaneous hemorrhage. Platelets are also needed during invasive medical procedures. Storing...