FRACTURE DIAPHYSAIRE DU FEMUR PDF

The standard gamma nail is commonly used for the treatment of trochanteric fractures but cannot be used if the fracture lies at the level of the distal locking. Theoretically, the long gamma nail would overcome this inconvenience and could be used for all cases of subtrochanteric and trochanteric-shaft fractures. Clinical and radiological charts were established in for a multicentric study. The radiology work-up included an AP view of the pelvis and an oblique lateral view of the hip. Two classifications were used: Seinsheimer and Muller as modified by Nazarian. From January to December , 46 patients were treated with the long gamma nail.

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The standard gamma nail is commonly used for the treatment of trochanteric fractures but cannot be used if the fracture lies at the level of the distal locking. Theoretically, the long gamma nail would overcome this inconvenience and could be used for all cases of subtrochanteric and trochanteric-shaft fractures. Clinical and radiological charts were established in for a multicentric study.

The radiology work-up included an AP view of the pelvis and an oblique lateral view of the hip. Two classifications were used: Seinsheimer and Muller as modified by Nazarian.

From January to December , 46 patients were treated with the long gamma nail. Twenty-four cases were excluded for various reasons from wich 3 early death. Mean age was 68 years range ; there were six women and 16 men. Ten patients were traffic or work accident victims and 12 had had a home accident. Mean duration of surgery was 70 minutes. Three patients required revision surgery within a week of the initial osteosynthesis. Mean hemoglobin level before surgery was Mean hospital stay was 14 days.

Weight-bearing with support was possible early after surgery in 16 patients who walked with crutches or a walker. Mean delay to weight-bearing was 11 days. At three months, all patients were using an aid for walking; at six months, four patients used a walker. Bone healing was achieved on the average at the twelfth week. Radiological reduction was anatomic in four, acceptable in three and poor in We advocate the AO classification as it allows a structured analysis of all fractures within a unique system.

We compared our results with nine series reported in the literature using other therapeutic methods screw-plate, nail-plate, Ender nail. The operative time for the long gamma nail 70 min was comparable with that for other surgical techniques.

Treatment with the long gamma nail favors bone healing and limits the risk of infection. Radiological results in our series were poor, but there were no cases with nonunion and the morbidity was low. Keywords: Femur , subtrochanteric fracture , trochanteric nail. Journal page Archives Contents list.

Simon, G. Jung, F. Bonnomet, S. Article Article Outline. Access to the text HTML. Access to the PDF text. Recommend this article. Save as favorites. Access to the full text of this article requires a subscription. If you are a subscriber, please sign in 'My Account' at the top right of the screen. Outline Masquer le plan.

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Fracture en cheveu de la diaphyse fémorale

Femoral diaphyseal fracture FDF are usually operated. Physiotherapy is very important to optimize functional recuperation of patient, after surgery. It's a retrospective, transversal and comparative study. Patients were seen for a clinical control, from 15th September to 20th December

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Fractures étagées diaphysaires des membres inférieurs

We'd like to understand how you use our websites in order to improve them. Register your interest. The authors present a series of 26 cases of ipsilateral fractures of the shafts of the femur and tibia treated by internal fixation. Twenty have been followed up for more than 2 years. Thirteen healed without incident and achieved excellent function.

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