[Surgical fixation of humeral fractures with Hackethal's nails].
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We studied 60 intertrochanteric fractures of the femur fixed with Dynamic Hip Screw (DHS). There were 10 cases (16.7%) with cutting-out of device through femoral head and neck. Stable fracture pattern, postero-inferior and central position of screw in the femoral neck and head produced high percentage of good result, whereas anterior or superior position of screw produced higher incidence of cut-out. We found osteoporosis and distance of screw tip to subchondral bone to have no influence on the final outcome.
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Condylo-cephalic nailing which has been developed by Ender is described. Three elastic pins are inserted at the proximal part of the medial femoral condyle and passed through the femur across the fracture into the head of the femur. The operative procedure is very simple and not hazardous to elderly patients. A special advantage is early weight-bearing. One hundred and three patients with intertrochanteric and subtrochanteric fracture were treated by this method. The average age was seventy-six years. Our own experiments have shown that this method can allow immediate weight-bearing.
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