TREATMENT OF LATERAL FEMORAL FRACTURE WITH ENDOMEDULLARY NAIL ENDOVIS

Abstract

The authors evidences the results of their experience, matured in the Orthopaedic and Traumatologic Division, of Fano Hospital, that have been involved 106 patients with lateral femoral fractures from the January 2003 to 31st July 2004, treated with endomedullary nailing (Endovis). With a medium follow up of 12 months, 89 patients have been estimated clinically and radiologically, classified second to AO-Muller: 31A1 (21%), 31A2 (46%), 31A3 (33%).For all the patients we have used the classification of operative risk ASA: ASA 1–2 (88.5%), ASA 3–4 (14%), ASA 4 (2.5%).In agreement with the literature, the 88%, of the patients have been subordinate to surgical intervention within 48 hours, from the admission, while for serious patients with severe pathology, the treatment has been done within the 72 hours. In only 3 patients (1%) the surgical intervention was complicated with break down of the screw; in 8 cases (7.5%) an iper-correction in valgus position.

As the importance from socioeconomic point of such pathology, we think that the Endovis nail, is a valid method of osteosynthesis and it guarantees an early mobilization, reduced hospitalisations with obvious positive reply on the cost/benefit ratio.