Nail Length in the Management of Intertrochanteric Fracture of the Femur.
J Am Acad Orthop Surg
; 24(6): e50-8, 2016 Jun.
Article
in En
| MEDLINE
| ID: mdl-27128026
ABSTRACT
Intramedullary devices are used increasingly to treat intertrochanteric femur fractures, especially those with unstable patterns. In spite of the considerable use of nails in the management of these fractures, opinions differ about the correct length of intramedullary nail. Long nails were developed to address the risk of diaphyseal fracture associated with earlier short nail designs and to extend the indications for use to include diaphyseal and subtrochanteric fractures. Several recent studies, however, have found no differences between modern short nails and long nails with regard to union and complication rates. In the absence of existing guidelines, the treating surgeon's preference and fracture characteristics continue to influence the decision of whether to use short nails or long nails. The surgeon needs to consider the fracture configuration and related factors, including whether osteoporosis is present and the cost and risk of revision surgery, when selecting the appropriate nail length.
Full text:
1
Collection:
01-internacional
Database:
MEDLINE
Main subject:
Bone Nails
/
Femur Head
/
Fracture Fixation, Intramedullary
/
Hip Fractures
Type of study:
Prognostic_studies
Limits:
Humans
Language:
En
Journal:
J Am Acad Orthop Surg
Journal subject:
ORTOPEDIA
Year:
2016
Document type:
Article
Affiliation country:
Panama