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- Title
A New Classification and Treatment Protocol for Combined Fractures of the Femoral Shaft With the Proximal or Distal Femur With Closed Locked Intramedullary Nailing: Clinical Experience of 63 Fractures.
- Authors
Lambiris, Elias; Giannikas, Dimitrios; Galanopoulos, George; Tyllianakis, Minos; Megas, Panagiotis
- Abstract
The medical records and radiographs of 63 patients, who were admitted between 1989-1997, with a combined femur fracture, were reviewed. Associated injuries were present in 38 (60%) patients. The combined fractures were classified into four major types depending on their anatomical position: type l, femoral shaft fracture combined with hip neck fracture; type Il, femoral shaft fracture combined with a trochanteric fracture; type III, femoral shaft fracture combined with a distal femur fracture; and type IV, femoral shaft fracture combined with a proximal or distal femur fracture. The fractures were treated with locked intramedullary nailing and additional free cancellous 6.5-mm screws as needed. Fifty-six fractures healed without further operations. Of the remaining 6 fractures, 2 were material failures, 1 malunion with 3-cm shortening and external rotation of the femoral diaphysis, 2 early infections of the surgical wound, and 1 pseudarthrosis of the femoral shaft. All fractures were healed between 16 and 32 weeks (average: 20 weeks).
- Subjects
ORTHOPEDICS; MEDICAL records; FEMUR injuries; INTRAMEDULLARY fracture fixation; INTERNAL fixation in fractures
- Publication
Orthopedics, 2003, Vol 26, Issue 3, p305
- ISSN
0147-7447
- Publication type
Article
- DOI
10.3928/0147-7447-20030301-10