Subtrochanteric fractures: two case reports of non-union

Injury · Dec 2018

Case Reports

Subtrochanteric fractures: two case reports of non-union treatment.

Proximal femoral fractures are a very common disease which affect elderly patients after low energy trauma, but can also affect the young population as a consequence of high energy trauma. Classification of sub trochanteric fractures has not yet been clearly defined representing a major issue in comparing different treatment techniques among the scientific literature. These fractures are well known by orthopaedic surgeons for intraoperative difficulties in reduction and post-operative high rate of non-unions and malunions. We present two clinical cases, one treated with an intramedullary device and one with an extramedullary device, both failed and revised with open surgery using a condylar angled bladeplate, following AO principles of anatomical reduction and stable fixation.

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- Pietro De Biase, Edy Biancalani, Daniela Martinelli, Andrea Cambiganu, Stefano Bianco, and Roberto Buzzi.
- AOU Careggi, Firenze, Italy. Electronic address: debiasep@aou-careggi.toscana.it.
- Injury. 2018 Dec 1; 49 Suppl 4: S9-S15.
AbstractProximal femoral fractures are a very common disease which affect elderly patients after low energy trauma, but can also affect the young population as a consequence of high energy trauma. Classification of sub trochanteric fractures has not yet been clearly defined representing a major issue in comparing different treatment techniques among the scientific literature.These fractures are well known by orthopaedic surgeons for intraoperative difficulties in reduction and post-operative high rate of non-unions and malunions.We present two clinical cases, one treated with an intramedullary device and one with an extramedullary device, both failed and revised with open surgery using a condylar angled bladeplate, following AO principles of anatomical reduction and stable fixation.Copyright © 2018. Published by Elsevier Ltd.

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Subtrochanteric fractures: two case reports of non-union treatment.

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