Author/Editor		Kutnik, F; Ocepek, I; Dolenc, I
Title		Zdravljenje zlomov trohanternega predela stegnenice - lastne izkušnje
Translated title		Treatment of trochanteric area femur fractures - own experiences
Type		članek
Source		Zdrav Vestn
Vol. and No.		Letnik 63, št. 8
Publication year		1994
Volume		str. 437-41
Language		slo
Abstract		Background. The dispute about cboosing an adequate treatment of fractured trochanteric area is presented. Depended on general condition of injuried patient, the operation and mode of internal fixation is indicated, osteosynthetic device was used according to the pattern of fracture. A postoperative follow-up was done for three months postoperatively. Methods. A group of unselected patients with the same number of trochanteric area fractures (treated between 1983-1988) is reviewed retrospectively. 16 fractures were treated operatively, 81 of them by intramedullary condylo-trochanteric nailing predominately at eldery and weak patients, applied as a curved Kuentscher nail or elastic Enders nails. Competing procedures like angled blade were performed at 55 patients in sufficient health condition. Sliding plate nailing (Dynamic Hip Screw) was applied only in some cases. Spinal anaesthesia was commonly used. Results and conclusions. Intramedullary nailing ensures axial fixation and early weight bearing also. The nailing offers the advantages in terms of shorter operative time and minimised blood loss. The postoperative complications at angle plate operated legs were fewer but more disastrous like those fixed with condylotrochanteric nails. More patients in condylotrochanteric nailed group were able earlier to walk after operation without restriction of weight-bearing than those nailed with plates.
Descriptors		HIP FRACTURES FRACTURE FIXATION, INTRAMEDULLARY BONE NAILS