The treatment of stable and unstable proximal femoral fractures with a new trochanteric nail: results of a multicentre study with the Veronail.

Strategies in Trauma and Limb Reconstruction
Franco LaviniM Manca

Abstract

The incidence of hip fractures continues to rise. This study is the first evaluation of a new intramedullary implant, the Veronail, that provides double axis fixation into the femoral head and allows the surgeon to choose whether to use sliding or fixed locked proximal screw fixation for trochanteric femoral fractures. The fractures were classified according to the AO classification, and function was assessed with the Modified Harris Hip Score. 111 patients with trochanteric fractures were evaluated in eight Italian hospitals. The stable 31.A1 fractures were treated with sliding proximal screws, the subtrochanteric 31.A3 fractures with converging proximal screws, and the unstable 31.A2 fractures were treated with both types of proximal fixation. The unstable fractures treated with locked converging screws had the same function at one year as those treated with sliding screws. This study suggests a possible new method of treating unstable trochanteric femoral fractures. This may be the solution to prevent excessive collapse of the fracture with the resultant poor function and persisting pain noted in the literature. Two converging locked proximal screws seem to provide stable fixation in 31.A2 femoral fractures and produce as go...Continue Reading

References

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Citations

Jun 29, 2010·BMC Musculoskeletal Disorders·Alicja J BojanAnders Jönsson
Jul 31, 2013·Strategies in Trauma and Limb Reconstruction·Ram Chander SiwachParitosh Gogna
Apr 2, 2013·Strategies in Trauma and Limb Reconstruction·G AntoniniL Pietrogrande
Feb 20, 2010·Journal of Orthopaedic Surgery and Research·Konstantinos G MakridisLeonidas Badras
Nov 22, 2013·Journal of Orthopaedic Research : Official Publication of the Orthopaedic Research Society·A SermonM Windolf
Jun 25, 2020·SICOT-J·Amr Ahmed Hosny Abdo SelimAhmed Samir Barakat
Oct 19, 2017·SICOT-J·Andreas F MavrogenisPanayiotis J Papagelopoulos
Sep 14, 2018·Experimental and Therapeutic Medicine·Ze ZhuangDehai Shi
Apr 23, 2014·Journal of Orthopaedic Trauma·Christopher BooneKevin D Grant
Jan 5, 2020·European Journal of Trauma and Emergency Surgery : Official Publication of the European Trauma Society·Xavier Lizano-DíezJohannes Dominik Bastian
Feb 12, 2021·Indian Journal of Orthopaedics·Glen Zi Qiang LiauJames Hoi Po Hui

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