Early results of russel-taylor interlocking nail femur

This work included 16 cases of diaphyseal femoral fracture treated by interlocking nail femur, 12 of them had recent fractures and 4 cases had non union because of failed other methods of internal fixation. The average age was 32 years. Our cases were followed up for 14 months. All cases had solid consolidation before 11 months. Grafting was used in 6 cases. Seven cases were dynamised. Only one case had deep infection because it was a puncture compound fracture. We concluded from this study that interlocking femoral fixation mainly in comminuted femural fractures has many advantages regarding union, rigid fixation and preservation of femoral length

Management of pathological subtrochanteric fractures of the femur by zickel nail

This study included 11 cases of pathological fractures of the subtrochanteric area of the femur [2 cases of impending fractures]. Our average age was about 68 years, 5 cases had closed zickel nailing while 6 cases had open nailing technique. All cases had biopsies taken before nailing. Methyl metha-acrylate bone cement was used to fill gaps in 2 cases with wide lesions. Radiation and/or chemotherapy were given postoperatively according to biopsy result. Cases were followed up for 2 years. We concluded from this study that, Zickel nail fixation proved to be a very reasonable method of fixation in these types of fractures, which helps to alleviate pain and to improve the life style of the patients