Abstract
Full Weight Bearing Osteosynthesis of Inter- and Subtrochanteric Fractures with Gliding Nail. 77 patients suffering from inter- and subtrochanteric fractures, pathologic fractures, implant failures after dynamic hip screw osteosynthesis and one pseudarthrosis were stabilised with gliding nail. Aim of the study was to evaluate clinical use of a new method as well as analysis of health and social possibility of rehabilitation for these patients. 75 could be mobilised with full weight bearing. Four months postoperative only 2 were newly sent to nursing homes. Walking mobility of preoperative walking-able patients could be preserved in 79% of checked up persons essentially. In 39% only few steps walking-able patients this status could be saved. 10 operated patients are dead four months later. The rate of complications is comparable to literature, while we did not observe any cut-out phenomena and no secondary shaft fracture of femur as seen in similar implants. Problems may occur from irritation of iliotibial tractus caused of lateral jut out of the dynamic blade resulting from compressing the fracture or unintentional migrating of the blade.
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