Analysis of six hundred and twenty-two intertrochanteric hip fractures. A retrospective and prospective study

R. F. Kyle, R. B. Gustilo, R. F. Premer

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265 Scopus citations

Abstract

Of 622 intertrochanteric fractures, 57% were stable (Types I and II). 28% were Type III, and 15% were Type IV (the unstable types). The 150-degree telescoping Massie nail proved superior to the fixed 135-degree Jewett nail (particularly for unstable fractures) because it allowed a controlled impaction of the fracture fragments to a stable position. In about one-third of the fractures, some medial displacement occurred. With anatomical reduction and the use of the Massie or ASIF nails, the authors achieved a decrease in the morbidity and mortality and 96% satisfactory results. The authors prospective study was compared with a retrospective study in which other devices were used. Early ambulation and weight-bearing also was a major contributing factor to the improved results in the prospective study. Intertrochanteric hip fractures that are unstable can be fixed with a collapsible nail, and that treatment appears to give as good or better results than the displacement method of Dimon and Hughston or Sarmiento.

Original languageEnglish (US)
Pages (from-to)216-221
Number of pages6
JournalJournal of Bone and Joint Surgery - Series A
Volume61
Issue number2
DOIs
StatePublished - Jan 1 1979

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