NDLI: Distal unlocked proximal femoral intramedullary nailing for intertrochanteric femur fractures.

Content Provider	World Health Organization (WHO)-Global Index Medicus
Author	Ozkan, Korhan Unay, Koray Demircay, Can Cakir, Mustafa Eceviz, Engin
Description	Country affiliation: Turkey Author Affiliation: Ozkan K ( Orthopaedic and Traumatology Department, Goztepe Research and Training Hospital, Istanbul, Turkey. korhanozkan@hotmail.com)
Abstract	We investigated whether a proximal femoral nail (PFN) having two lag screws can be implanted without distal locking screws in AO/OTA 31-A1 and 31-A2 intertrochanteric femur fractures. Twenty-four patients with AO/OTA 31-A1 and 31-A2 fractures were treated with a PFN without distal interlocking by a single surgeon. The mean follow-up was 12 months (range: 7-23). Clinical and functional outcome was assessed according to the Harris hip score and Barthel's activity score. The fractures healed in all patients; the average consolidation time was 14 weeks (range: 9-28). Fourteen patients had excellent and good results, nine patients had fair results, and one patient had a poor result according to the Harris hip score; 17 patients had a high range of mobility according to the Barthel activity score. Our results suggested that the PFN can be successfully implanted without distal interlocking in 31-A1 and 31-A2 fractures.
File Format	HTM / HTML
ISSN	03412695
e-ISSN	14325195
DOI	10.1007/s00264-008-0673-1
Journal	International Orthopaedics
Issue Number	5
Volume Number	33
Language	English
Publisher	Springer
Publisher Date	2009-10-01
Publisher Place	Germany
Access Restriction	Open
Subject Keyword	Discipline Orthopedics Bone Nails Femoral Fractures Surgery Femur Fracture Fixation, Intramedullary Instrumentation Hip Fractures Pathology Physiopathology Fracture Healing Injury Severity Score Osseointegration Pain Radiography Range Of Motion, Articular
Content Type	Text
Resource Type	Article
Subject	Orthopedics and Sports Medicine Surgery

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