Year : 2005 | Volume
: 39 | Issue : 2 | Page : 99--103
Role of Russell - Taylor delta reconstruction nail in the management of complex proximal femoral fractures
D Raj, NP Coleman
Queen Elizabeth Hospital, King's Lynn, Norfolk, England, United Kingdom
Background: Complex proximal femoral fractures are challenging problem.
Methods: Forty-one patients had Russell- Taylor Delta reconstruction nailing done during the period from March 1992 to December 1996. 38 patients could be followed both clinically and radiologically either up to the fracture union or death. Clinical outcome was assessed by Kyle«SQ»s criteria. Out of 13 patients with high-energy comminuted fractures, 12 were rated excellent or good. There was one death due to poly trauma.
Results: Out of six elderly subtrochanteric fractures, 4 had excellent or good results. There was one poor result and one death. Out of 11 elderly interochanteric fractures with subtrochanteric extension, 8 had excellent or good results. There was 1 fair, 1 poor result and 1 death. In the elderly groups, the poor results were due to poor pre- existing medical conditions of the patients. In all the seven cases of pathological lesions, excellent or good results were achieved either till fracture union or death because of their malignant pathology.
Conclusion: Russell- Taylor Delta reconstruction nail is a very useful device in high-energy comminuted proximal femoral fractures, in elderly low energy proximal femoral fractures and also in pathological lesions. The implant provides bio-mechanically stable fixation. The relatively high complication rate in elderly patients is because of their poor medical condition. In cases of pathological lesions, it is always preferable to fix the bone at the stage of impending fracture.
10 Notton Way, Reading, Berkshire RG6 4AJ, England
|How to cite this article:|
Raj D, Coleman N P. Role of Russell - Taylor delta reconstruction nail in the management of complex proximal femoral fractures.Indian J Orthop 2005;39:99-103
|How to cite this URL:|
Raj D, Coleman N P. Role of Russell - Taylor delta reconstruction nail in the management of complex proximal femoral fractures. Indian J Orthop [serial online] 2005 [cited 2019 Nov 22 ];39:99-103
Available from: http://www.ijoonline.com/article.asp?issn=0019-5413;year=2005;volume=39;issue=2;spage=99;epage=103;aulast=Raj;type=0