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Susbtrochanteric Femoral Fracture Failed Fixation

  • Vasileios P. Giannoudis,
  • Paul L Rodham,
  • Nikolaos K. Kanakaris,
  • Peter V. Giannoudis

摘要

Failure of operative treatment of subtrochanteric femoral fractures may have various aetiologies. Subtrochanteric femur fractures are difficult to treat due to strong deforming forces at the fracture site, tenuous blood supply, and the immense load-bearing forces exerted through the peri-trochanteric region. Adequate reduction and stable fixation are paramount when treating these fractures to optimize patient outcomes. Special attention should be made to avoid poorly reduced fracture (varus malignment) and lack of medial cortical support.