R-F4.2 Proximal femoral nailing with continuous manual traction

Abstract

Introduction: As the population of the elderly increases, osteoporotic fractures of the proximal femur have become a serious problem. Currently available nailing-systems are technically demanding due to their complexity and the persistent rotational instability of the head-neck fragment. We examine retrospectively the use of an innovative proximal femoral nail (Trigen Intertan, SmithN m=78.9). Of the 100 patients 9% required revision surgery. Neither cut out nor implant failure was reported. The mortality within 6 months was 11%. Conclusion: We regard the Intertan-Nail as an effective method to treat proximal femoral fractures and also femoral neck fractures in younger patients. However, attention is paid to the correct indication and performance of surgical procedure.