الفهرس 
Anatomy of The FemurOnly 14 pages are availabe for public view
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Abstract
SUMMARY
The aim of this study was to evaluate the outcome of internal fixation of closed subtrochanteric femoral fractures in adults using proximal femoral locked plate versus intramedullary nails which were evaluated clinically by Harris hip score and radiologically for a union at fracture site and implants related complications.
The study included total of thirty patients with subtrochanteric femoral fractures. The mean age of the patients was 56 years for the nail group and 55 years for the plate group. In this study 12 cases were due to road traffic accidents ,4 cases were due to falling from a height ,8 cases were due to falling down stairs and 6 cases were due to simple falls. According to Russell Taylor classification, the most common type was Russell Taylor type IIB for five cases for the plate group and five cases for the nail group, type IIA, five cases for the plate group and four cases for the nail group, type IA, two cases for the nail group and type IB, five cases for the plate group and four cases for the nail group.
Postoperatively, patients were typically mobilized with protected weight- bearing (i.e., toe-touch) for a period of 6 – 8 weeks, progressing to full weight-bearing at 12 weeks. Active hip abduction exercises are initially prohibited, but may be begun in 4 – 8 weeks, depending on the specific fracture healing.
Patients were followed up at 1 week, 2 weeks, 3 weeks, 6months and 1 year after the operation.
Among the 30 patients, the union rate was 53.3% for the plate group (8 cases) and 93.3% for the nail group (14 cases).
There were four cases of delayed union (26.7%) in the plate group and one case (6.7%) of delayed union in the nail group.
There were three cases of nonunion (20%) in the plate group and no cases of nonunion in the nail group.
Three cases showed deformities of more than 10 degrees fixed abduction and more than 10 degrees fixed internal rotation in extension.