PUGH NAIL SYSTEM AS A FORM OF TREATMENT FOR FRACTURES OF THE PROXIMAL FEMUR

被引：2

作者：

BRYAN, AS

机构：

[1] Warrington District General Hospital, Warrington

来源：

INJURY-INTERNATIONAL JOURNAL OF THE CARE OF THE INJURED | 1990年 / 21卷 / 04期

关键词：

D O I：

10.1016/0020-1383(90)90004-E

中图分类号：

R4 [临床医学];

学科分类号：

1002 ; 100602 ;

摘要：

A retrospective study of the results of treatment of 177 patients who had sustained a fracture of the proximal femur was undertaken. The social background, type of injury, operation performed, duration of stay after operation, mortality and morbidity were recorded and compared with the results published by other workers. It is concluded that the Pugh sliding nail system adequately fixes most fractures of the proximal femur. It allows early postoperative mobilization and discharge to the home environment for most patients. The overall mortality and morbidity compares favourably with results published for the dynamic compression screw. Treatment of the elderly patient with a displaced subcapital fracture of the femoral neck remains a problem, due to the high incidence of failure of fixation. It may be that for this group of patients a primary hemiarthroplasty is the treatment of choice. A prospective study to resolve this issue is required. The cost of a Pugh nail is considerably less than that of a dynamic compression screw. © 1990.

引用

页码：213 / 216

页数：4

共 9 条

[1]

Barnes, Brown, Garden, Et al., Subcapital fractures of the femoral neck: a prospective review, J. Bone Joint Surg., 58 B, (1976)

[2]

Brown, Abrami, Transcervical femoral fracture. A review of 195 patients treated by sliding nail plate fixation, J. Bone Joint Surg., 46 B, (1964)

[3]

Christie, Howie, Armour, Fixation of displaced subcapital fractures. Compression screw fixation versus double divergent pins, J. Bone Joint Surg., 70 B, (1983)

[4]

Fielding, Wilson, Ratzan, A continuing end result of displaced intra-capsular fractures of the neck of the femur treated with the Pugh nail, J. Bone Joint Surg., 56 A, (1974)

[5]

Pugh, A self-adjusting nail plate for fractures about the hip joint, J. Bone Joint Surg., 37 A, (1955)

[6]

Sernbo, Johnell, Gentz, Et al., Unstable trochanteric fractures of the hip. Treatment with Enders pins compared with a compression screw, J. Bone Joint Surg., 70 A, (1988)

[7]

Sikorski, Barrington, Internal fixation versus hemi-arthroplasty for the displaced subcapital fracture of the femur. A prospective randomised study, J. Bone Joint Surg., 63 B, (1981)

[8]

Skinner, Powles, Compression screw fixation for displaced subcapital fractures of the femur. Success or failure?, J. Bone Joint Surg., 68 B, (1981)

[9]

Stewart, Pugh's nail fixation v Thompson's prosthesis for displaced subcapital fractures of the femur, Injury, 15, (1983)

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