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Minimally invasive treatment of trochanteric fractures with intramedullary nails. Technique and results.

Todor A, Pojar A, Lucaciu D - Clujul Med (2013)

Bottom Line: No patients required blood transfusions.During the hospital stay all the patients were mobilized with weight bearing as tolerated.This minimally invasive technique using a gamma nail device for pertrochanteric fractures gives reliable good results with excellent preservation of hip function.

View Article: PubMed Central - PubMed

Affiliation: Iuliu Haţieganu University of Medicine and Pharmacy, Cluj-Napoca, Romania. "Alexandru Rădulescu" Orthopedics Clinic, Cluj-Napoca, Romania.

ABSTRACT

Unlabelled: The aim of the study was to evaluate the results of minimally invasive treatment of trochanteric fractures with the use of intramedullary nails.

Patients and methods: From September 2010 to September 2012 we treated 21 patients with pertrochanteric fractures by a minimally invasive technique using the Gamma 3 (Stryker, Howmedica) nail. There were 13 females and 8 men with a mean age of 74.1 years, ranging from 58 to 88 years. Fractures were classified as being stable (AO type 31-A1) in 5 cases and unstable (AO type 31-A2 and A3) in the rest of 16 cases. Patients were reviewed at 6 weeks and 3 months postoperatively.

Results: Mean surgery time was 46.8 minutes and mean hospital stay was 14.9 days. No patients required blood transfusions. During the hospital stay all the patients were mobilized with weight bearing as tolerated. All patients were available for review at 6 weeks, and 2 were lost to the 3 months follow up. 16 patients regained the previous level of activity.

Conclusions: This minimally invasive technique using a gamma nail device for pertrochanteric fractures gives reliable good results with excellent preservation of hip function.

No MeSH data available.


Related in: MedlinePlus

Landmarks outlining the greater trochanter.
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f1-cm-86-40: Landmarks outlining the greater trochanter.

Mentions: Between September 2010 to September 2012, 21 patients with pertrochanteric fractures were treated by a minimally invasive procedure with the use of Gamma 3 (Stryker-Howmedica) nail. There were 13 females and 8 men with a mean age of 74.1 years, ranging from 58 to 88 years. Fractures were classified as being stable (AO type 31-A1) in 5 cases and unstable (AO type 31-A2 and A3) in the rest of 16 cases. Patients were reviewed at 6 weeks and 3 months postoperatively. After anesthesiology clearance, patients were operated using the same technique. All surgeries were performed under spinal anesthesia, on the traction table. After closed reduction, skin preparation and draping, landmarks are marked with a pen to outline the greater trochanter (fig. 1). A 2 cm skin incision is made proximal to the tip of the grater trochanter and the cortex is penetrated at the level of the greater trochanter (fig. 2). After proper preparation of the medullary canal to accommodate the nail, this is introduced and fixed proximally through the neck and head, and distally with a screw (fig. 3). This minimally invasive procedure involves three “stab” incisions up to a maximum of 2 cm each (fig. 4).


Minimally invasive treatment of trochanteric fractures with intramedullary nails. Technique and results.

Todor A, Pojar A, Lucaciu D - Clujul Med (2013)

Landmarks outlining the greater trochanter.
© Copyright Policy - open-access
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC4462485&req=5

f1-cm-86-40: Landmarks outlining the greater trochanter.
Mentions: Between September 2010 to September 2012, 21 patients with pertrochanteric fractures were treated by a minimally invasive procedure with the use of Gamma 3 (Stryker-Howmedica) nail. There were 13 females and 8 men with a mean age of 74.1 years, ranging from 58 to 88 years. Fractures were classified as being stable (AO type 31-A1) in 5 cases and unstable (AO type 31-A2 and A3) in the rest of 16 cases. Patients were reviewed at 6 weeks and 3 months postoperatively. After anesthesiology clearance, patients were operated using the same technique. All surgeries were performed under spinal anesthesia, on the traction table. After closed reduction, skin preparation and draping, landmarks are marked with a pen to outline the greater trochanter (fig. 1). A 2 cm skin incision is made proximal to the tip of the grater trochanter and the cortex is penetrated at the level of the greater trochanter (fig. 2). After proper preparation of the medullary canal to accommodate the nail, this is introduced and fixed proximally through the neck and head, and distally with a screw (fig. 3). This minimally invasive procedure involves three “stab” incisions up to a maximum of 2 cm each (fig. 4).

Bottom Line: No patients required blood transfusions.During the hospital stay all the patients were mobilized with weight bearing as tolerated.This minimally invasive technique using a gamma nail device for pertrochanteric fractures gives reliable good results with excellent preservation of hip function.

View Article: PubMed Central - PubMed

Affiliation: Iuliu Haţieganu University of Medicine and Pharmacy, Cluj-Napoca, Romania. "Alexandru Rădulescu" Orthopedics Clinic, Cluj-Napoca, Romania.

ABSTRACT

Unlabelled: The aim of the study was to evaluate the results of minimally invasive treatment of trochanteric fractures with the use of intramedullary nails.

Patients and methods: From September 2010 to September 2012 we treated 21 patients with pertrochanteric fractures by a minimally invasive technique using the Gamma 3 (Stryker, Howmedica) nail. There were 13 females and 8 men with a mean age of 74.1 years, ranging from 58 to 88 years. Fractures were classified as being stable (AO type 31-A1) in 5 cases and unstable (AO type 31-A2 and A3) in the rest of 16 cases. Patients were reviewed at 6 weeks and 3 months postoperatively.

Results: Mean surgery time was 46.8 minutes and mean hospital stay was 14.9 days. No patients required blood transfusions. During the hospital stay all the patients were mobilized with weight bearing as tolerated. All patients were available for review at 6 weeks, and 2 were lost to the 3 months follow up. 16 patients regained the previous level of activity.

Conclusions: This minimally invasive technique using a gamma nail device for pertrochanteric fractures gives reliable good results with excellent preservation of hip function.

No MeSH data available.


Related in: MedlinePlus