Advertisement

Erfahrungen mit dem Classic-Nagel bei der Versorgung von per-/subtrochanteren Femurfrakturen beim alten Menschen

  • M. Berkhoff
  • A. Katzer
  • H. von Kroge
  • J. V. Wening
Conference paper
Part of the Langenbecks Archiv für Chirurgie book series (DTGESCHIR, volume 1996)

Observations on the Use of the Classic Nail in the Treatment of Per- and Subtrochanteric Femoral Fractures in Elderly Patients

Summary

In the department of trauma and reconstructive surgery at the University Hospital of Hamburg-Eppendorf (UKE) the surgical treatment of unstable per- and subtrochanteric femoral fractures (AO 31A2 and 31A3) in elderly patients with severe osteoporosis includes the implantation of dynamic hip screws (DHS) and gamma nails, as well as the straighter “classic nails”. Using 43 short and 15 long classic nails, 58 fractures in seven women and 51 men, respectively, with an average age of 85 years (65–98 years) were stabilized over the last 2 years with good results (98.3% primary full weight bearing). In order to facilitate imlantation of the longer nails, additional antetorsion of the femoral neck screw and improvement of the distal interlocking have been developed by the manufacturer.

Preview

Unable to display preview. Download preview PDF.

Unable to display preview. Download preview PDF.

Literatur

  1. 1.
    Davis J, Harris MB, Duval M, D’ Ambrosia R (1991) Pertrochanteric fractures treated with the Gamma Nail: Technique and report of early results. Orthopedics 14:939–942PubMedGoogle Scholar
  2. 2.
    Friedl W (1993) Relevance of osteotomy and implant characteristics in inter- and subtrochanteric osteotomies. Experimental examination under alternating and static load after stabilisation with different devices including gamma nail osteosynthesis. Arch Orthop Trauma Surg 113:5–11PubMedCrossRefGoogle Scholar
  3. 3.
    Friedl W, Colombo-Benkmann M, Dockter S, Machens HG, Mieck U (1994) Gammanagel-Osteo-synthese per- und subtrochanterer Femurfrakturen. 4-Jahres-Erfahrungen und ihre Konsequenzen für die weitere Implantatentwicklung. Chirurg 65:953–963PubMedGoogle Scholar
  4. 4.
    Heinz Th, Vecsei V (1994) Komplikationen und Fehler bei der Anwendung des Gammanagels. Ursachen und Prävention. Chirurg 65:943–952PubMedGoogle Scholar
  5. 5.
    Schulz R, Loge R, Tempka A, Südkamp NP (1993) Das intramedulläre Hüftschraubensystem (Clas-sic-Nagel) für per- und subtrochantäre Frakturen des alten Menschen. Osteosynthese International: Kongreßband der Jahrestagung des Gerhard-Küntscher-KreisesGoogle Scholar

Copyright information

© Springer-Verlag Berlin Heidelberg 1996

Authors and Affiliations

  • M. Berkhoff
    • 1
  • A. Katzer
    • 1
  • H. von Kroge
    • 1
  • J. V. Wening
    • 2
  1. 1.Abteilung für Unfall- und WiederherstellungschirurgieUniversitätskrankenhaus Hamburg-EppendorfHamburgDeutschland
  2. 2.Abteilung für Unfall- und WiederherstellungschirurgieAllgemeines Krankenhaus Hamburg-AltonaHamburgDeutschland

Personalised recommendations