Trochanteric Fractures of the Femur

概要

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The results of a study of eighty-one patients with trochanteric fractures in this ten years were reported. Because eighteen patients were lost to follow-up, evaluation was possible in sixty-three fractures.Treatments were conservative in fifteen patients and surgical forty-eight, including six with unstable intertrochanteric fractures treated by Dimons method. Fixation appliances were chiefly McLaughlin nails and Jewett nails, but a few blade plates and Neufeld plates were used in early stage.Although patients usually encourged to sit on the first postoperative day and to have heavy exercises to prevent various complications, three patients died during the period of hospitalization.Because full weight-bearing was not allowed before the complete bone union (average ninety-third postoperative day), various complications of fixation such as penetration of the nail through the femoral head, bending or breaking of the nail did not occur.
西日本整形・災害外科学会の論文