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MINERVA ORTOPEDICA E TRAUMATOLOGICA
A Journal on Orthopedics and Traumatology
Minerva Ortopedica e Traumatologica 1999 December;50(6):235-40
Intramedullary fixation with IMHS system in subtrochanteric fractures
Giacomello P., Oliveri M., Palomba G., Rettagliata P., Baschiera R.
Background. Aim of this paper is to evaluate the results in the treatment of femur subtrochanteric fractures.
Methods. From January 1996 to January 1998 a total of 24 subtrochanteric fractures have been treated using short IMHS (9 patients), long IMHS (7 patients) and Ambu Plate screw (8 patients).
Results. The results obtained were excellent in 8 patients, good in 10 and poor in 4; unsuccessful results (delayed union) were observed in 2 cases.
Conclusions. The patients treated with Ambi Plate screw maintained the anatomical reduction for a long time. In patients treated with intramedullary nail system, the reduction indirectly obtained was not always anatomical, but this system allowed an early assisted stress.