Results of Surgical Treatment of Subtrochanteric Fracture of the Femur

• Published in: Orthopedics & Traumatology Vol. 55; no. 3; pp. 351 - 354
• Main Authors: Matsushita, Hidehiko, Yamauchi, Tatsuro, Nakashima, Saburo, Inoue, Tetsuji, Fuchigami, Tetsuro, Miyazaki, Makoto, Tabuchi, Kentaro
• Format: Journal Article
• Language: English; Japanese
• Published: West-Japanese Society of Orthopedics & Traumatology 2006
• Subjects: dynamization; intramedullary nail type; subtrochanteric fracture of the femur
• ISSN: 0037-1033; 1349-4333
• DOI: 10.5035/nishiseisai.55.351

From January 1996 to April 2005, we operated on 28 cases of the subtrochanteric fracture of the femur, using the intramedullary nail on 26 cases and CHS on two. In this study, we evaluated the post-operative results of the ambulation status and alteration in X-rays. Sixteen (67%) of the 24 patients who could walk before injury regained the ability to walk. In 23 patients (82%), bone union was obtained. In the other five patients with delayed union (all of them were operated with intramedullary nail), three were re-operated because of nail fracture or cut out. And two suffered from dynamization. Finally, all cases obtained bone union. We concluded that if good reduction cannot be obtained in the operation using intramedullary nail for the subtrochanteric fracture of the femur, we should add open reduction, and perform dynamization on cases of delayed union.