A method of stable osteosynthesis in diaphyseal fractures of the femur

• Published in: Ortopedija, travmatologija i protezirovanie no. 11; p. 4
• Main Authors: Kliuchevskiĭ, V V, Sukhanov, G, Bulatov, A S
• Format: Journal Article
• Language: Russian
• Published: Russia (Federation) 01-11-1991
• Subjects: Adult; Bone Nails; Female; Femoral Fractures - complications; Femoral Fractures - surgery; Fracture Fixation, Intramedullary - instrumentation; Fracture Fixation, Intramedullary - methods; Humans; Knee Injuries - etiology; Knee Injuries - surgery; Knee Joint - surgery; Male; Time Factors; Wound Healing
• ISSN: 0030-5987

The known methods of operative treatment of femur by means of intraosseous osteosynthesis, based on jamming of intraosseous structure in the bone, don't ensure sufficient level of the osteosynthesis stability that results in the secondary displacements. According to the method, proposed by the authors, a rod is introduced through the intercondylar fossa of the distal fractured fragment of femur (Imamaliyev, 1987) and is pierced through into the proximal fractured fragment of femur so that it perforates cortical layer of the bone in the region of greater trochanter with strong fixation in it. The structure is removed through the small incision in the area of the greater trochanter of femur. 35 patients have been operated according to this method. The remote results have been studied with 22 of them. Consolidation terms equal to 2.5-5 months. The secondary displacement has been noted with 4 patients with comminuted fractures.