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. 2001;25(5):298-301.
doi: 10.1007/s002640100275.

Trochanteric fractures treated with a proximal femoral nail

L J Domingo  1 , D Cecilia, A Herrera, C Resines
Affiliations

Trochanteric fractures treated with a proximal femoral nail

L J Domingo et al. Int Orthop. 2001.

Abstract
in English, French

We followed prospectively 295 patients with trochanteric fractures treated with the proximal femoral nail. The average age of the patients was 80 years and three out of four were female. The most frequent fracture type was A2 (59%). Clinical and radiographic controls were performed at 1, 3 and 6 months. There were technical complications during the operation in 12% of the cases, complications in the immediate postoperative period in 27% and late complications were detected in 4% of patients. Previous walking ability was recovered by 71%. The surgical technique is not complex, the number of complications recorded was acceptable and the overall results obtained are comparable with other fracture systems.

Nous avons suivi 295 patients avec des fractures trochantérienne traitées avec un Clou Fémoral Proximal. L'âge moyen était 80 ans et 3/4 des patients étaient des femmes . Les fractures ont été classifiées avec le système AO, la plus courante étant du type A2 ( 59%). Des contrôles cliniques et radiologiques ont été effectués 1, 3 et 6 mois après l'intervention. On a enregistré des complications techniques pendant l´opération dans 12% des cas, des complications postopératoires précoces dans 27% et des complications tardives dans 4% des cas. 71% des patients ont récupéré la déambulation précédente. La technique opératoire n'est pas difficile, le nombre des complications est acceptable et les résultats globaux obtenus sont comparables á ceux obtenus avec d'autres matériels pour le traitement de ce type de fractures.

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