IMHS clinical experience in the treatment of peritrochanteric fractures: The results of a multicentric Italian study of 981 cases

• Published in: Injury Vol. 33; no. 5; pp. 407 - 412
• Main Authors: Rebuzzi, E, Pannone, A, Schiavetti, S, Santoriello, P, de Nicola, U, Fancellu, G, Cau, P, Gulli, S, Dordolin, P, Maniscalco, P, Morici, F, Commessatti, M, Pozzi-Mucelli, M, Maiorana, C.S, Bassini, F
• Format: Journal Article
• Language: English
• Published: Oxford Elsevier Ltd 01.06.2002; Elsevier
• Subjects: Adult; Aged; Aged, 80 and over; Biological and medical sciences; Bone Screws; Female; Hip Fractures - diagnostic imaging; Hip Fractures - rehabilitation; Hip Fractures - surgery; Hip Joint - diagnostic imaging; Hip Joint - surgery; Humans; Intraoperative Complications - etiology; Italy; Male; Medical sciences; Middle Aged; Orthopedic surgery; Postoperative Complications - etiology; Radiography; Retrospective Studies; Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases; Walking; Italy; Europe; Human; Femur; Prognosis; Multicenter study; Diseases of the osteoarticular system; Intramedullary nailing; Lower limb; Osteosynthesis; Trauma; Epidemiology; Orthopedic surgery; Treatment; Osteosynthesis material; Bone; Technique; Public health; Pertrochanteric fracture
• ISSN: 0020-1383; 1879-0267
• DOI: 10.1016/S0020-1383(02)00070-0

This retrospective study evaluates the results obtained in five Italian departments of traumatology in the treatment of peritrochanteric (pertrochanteric and subtrochanteric) fractures by the intramedullary hip screw (IMHS; Smith & Nephew Richards, Memphis, TN, USA) nail. One thousand two hundred and seventy-three patients were treated with the IMHS nail between March 1992 and February 2000. The results of these operations were evaluated clinically and radiological in 981 patients. The 90.3% of patients could walk unaided or with simple support. Because of the low complication rate requiring re-operation (postoperative shaft fractures, screw penetrated the acetabulum, cut out and non-union) (1.7%), we think that this device is an advance in the treatment of peritrochanteric fractures.