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Srpski arhiv za celokupno lekarstvo 2011 Volume 139, Issue 7-8, Pages: 540-547
https://doi.org/10.2298/SARH1108540V
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The treatment of subtrochanteric fractures

Vučetić Čedomir S. ORCID iD icon (Klinika za ortopedsku hirurgiju i traumatologiju, Klinički centar Srbije, Beograd + Medicinski fakultet, Beograd)
Dulić Borislav V. (Klinika za ortopedsku hirurgiju i traumatologiju, Klinički centar Srbije, Beograd + Medicinski fakultet, Beograd)
Vukašinović Zoran S. (Medicinski fakultet, Beograd + Institut za ortopedsko-hirurške bolesti „Banjica”, Beograd)
Tulić Goran Dž. (Klinika za ortopedsku hirurgiju i traumatologiju, Klinički centar Srbije, Beograd + Medicinski fakultet, Beograd)
Kalezić Nevena K. (Medicinski fakultet, Beograd + Centar za anesteziologiju i reanimatologiju, Klinički centar Srbije, Beograd)
Todorović Aleksandar J. (Klinika za ortopedsku hirurgiju i traumatologiju, Klinički centar Srbije, Beograd)

Subtrochanteric fractures of the femur have a special place because of a significant number of complications following treatment. Powerful loading forces asymmetrically acting to this bone segment, as well as poor vascularization interfere with bone union. There are basically two current approaches in the fixation of subtrochanteric fractures; the first involves a plate with a compression screw and another one is intramedullary (IM) nail, with two options: centromedullary (standard interlocking femoral nail) and cephalomedullary femoral nail with two modifications, reconstructive and trochanteric. All IM nails may be used by open technique or closed minimal invasive method. IM nailing is favoured in view of a shorter operative time, shorter hospitalisation and complications. Indirect fracture reduction and knowledge of biology of bone fracture may result in full success without any bone graft.

Keywords: subtrochanteric fractures, femur, treatment

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