Subtrochanteric fractures of the femur results of treatment by interlocking nailing

Thirty-one subtrochanteric femoral fractures were treated with an interlocking nail. With a follow-up period of at least one year, there was 96.8% [30/31] union rate. The average time to healing was 25 weeks. There was one case with non-union. Essentially all non pathologic sub-trochanteric femoral fractures can be stabilized by interlocking nailing, regardless of the fracture pattern or degree of comminution. Favorable mechanical characteristics of interlocking nails have eliminated the requirement of surgically reconstructing the medial femoral cortex. Closed interlocking nailing is the preferred treatment for subtrochanteric fractures of the femur resulting from Trauma

Fractures of the distal femur in adults

Nineteen adults sustaining 20 distal femoral fractures were followed for 18 months. Majority [70%] of the patients were males between the ages of 17 to 70 years and 68% sustained other injuries too. Fractures were classified by AO classification; most of them were intrarticular C1 type. Open reduction and internal fixation was carried out in 60% cases. Assessment of results taking into consideration the parameters of pain, deformity and range of movement were compared with the conservatively treated group