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International Journal of Orthopaedics and Traumatology

Vol. 5, Issue 1, Part B (2023)

Anatomical and functional results of cervicomedullary nailing of fractures of the trochanteric region

Author(s):

Kombate Noufanangue Kanfitine, James Yaovi Edem, Koivogui B, Dzissah KEO, Walla A and Camara Aboubaka

Abstract:

Introduction: Fractures of the trochanteric region are often encountered in young people in sub-Saharan Africa. The aim of this study was to evaluate the anatomical and functional results of cervical-medullary nailing of fractures of the trochanteric region. To identify prognostic factors in correlated with anatomopathology of the lesions.
Patients and Methods: A multicenter, multioperator, prospective series of 65 fractures of the trochanteric region, including 43(66%) men and 22(34%) women, a sex-ratio of 1.95. Mean age 50.33 years; public road accidents are the predominant etiology (61.53%). Fractures were more unstable 52(80%) according to EVANS classification. 
Results: Bone fixation consisted of Gamma type cervico-medullary nailing (standard/intermediate, long) after reduction and reaming under scopic control, 51(78.46%) times closed focus versus 14(21.54%) open focus. An average consolidation time of 5 months (extreme 3 to 6 months). 
Radiological results were satisfactory 46 (71%), acceptable 13 (20%). Functional results were excellent or good 50 (77%), fair 10 (15%). Complications (iatrogenic fracture, implant malposition, cervical screw sweep, implant removal, pseudarthrosis, avascular osteonecrosis of the femoral head) were recorded.
Conclusion: Fractures of the trochanteric region occur due to high-energy trauma in young subjects in our series. Unstable lesions (complex pertrochanteric, intertrochanteric, subtrochanteric and trochanterodiaphyseal fractures) were found. Gamma type cervicomedullary nailing osteosynthesis is the treatment of choice for trochanteric fractures. These fractures were consolidated with good radiological and functional results according to the PMA score.

Pages: 113-118  |  86 Views  32 Downloads

How to cite this article:
Kombate Noufanangue Kanfitine, James Yaovi Edem, Koivogui B, Dzissah KEO, Walla A and Camara Aboubaka. Anatomical and functional results of cervicomedullary nailing of fractures of the trochanteric region. Int. J. Orthop. Traumatol. 2023;5(1):113-118. DOI: 10.33545/26648318.2023.v5.i1b.35