A greater trochanteric insertion site for femoral intramedullary nailing in lipomatous patients.
case_series · Level IV
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Abstract
This is a review of the treatment of 12 femoral shaft fractures and three nonunions in lipomatous patients who had a greater trochanteric insertion point for intra medullary nailing. Indications included overweight patients and trochanteric lipodystrophy. Combined with a small proximal extension of the incision, maximal limb adduction, and a slotted intramedullary nail, the greater trochanteric insertion point was effective, and no complications directly related to this procedure were encountered.
Medical subject headings
- Femoral Fractures
- Femur
- Fracture Fixation, Intramedullary
- Lipodystrophy
- Obesity
Anatomy
- femur