Minimal invasive internal fixation using Intertan for the treatment of comminuted subtrochanteric fracture
WEI Dan
YUAN Jia-bin
WANG Yue
LIU Zhong-qian
TANG Xiao-ming
ZHANG Bin
LU Bing
Abstract：Objective To investigate the clinical efficacy and discuss the surgical techniques of minimal invasive surgery using Intertan device for the treatment of comminuted subtrochanteric fractures .Methods A total of 37 comminuted subtrochanteric fractures patients were analyzed retrospectively from Sept .2008 to Jul.2011. There were 26 males and 11 females,with a mean age of 42.3 years (27 to 63 years).According to the Seinsheimer classification of subtrochanteric fractures ,8 cases were of type ⅢA,17 cases of type ⅢB,and 12 cases of type Ⅳ. All the patients were treated with limited open reduction and internal fixation of Intertan .Intra-operative blood loss was measured and postoperative functional outcomes were evaluated at follow -ups.Results The mean operation time was 73 minutes(45 to 110 minutes),and the mean intra-operative blood loss was 130ml(60 to 230ml).All the patients obtained an average follow-up of 13 months (9 to 21 months).The average fractures healing time was 4.3 months (3 to 6.9 months),and there was 1 case of deep infection.In accordance with the traumatic hip score recommended by Sanders,there was excellent in 16 cases,good in 13 cases,fair in 6 cases,poor in 2 cases,and the satisfactory rate was 78.4%.Conclusion Good outcomes of comminuted subtrochanteric fractures are expectable under minimal invasive surgery using Intertan nail ,and a lower rate of complications is achievable with proper surgi-cal techniques applied.
Keywords：femoral subtrochanteric fractureinternal fixationintramedullary nail
Publication Date：2013-01-01
Online Publishing Date：2025-08-15(First online date of this platform, not the publication date of the document)
Pages：3( 507-509 )