抄録
In trochanteric femoral fractures, AO 31-A3 reverse oblique type fractures are the most unstable, so they are often difficult to treat surgically. In the past 2 years we surgically treated 22 fractures of this type. (In total we surgically treated 193 trochanteric femoral fractures.)
In operations for this type of fracture, we usually use a traction table and 2 image intensifiers, and as a rule, closed reduction. We used \-nails for 6 fractures, long \-nails for 8, and small PFN for 8, as implants.
Full weight bearing is permitted 4 weeks after operation. Operation time is from 39 to 91 minutes. (average 54min.) Bleeding is less than 100ml (average). All patients got bone union.
The intramedullary implants such as \-nails, long \-nails and small PFN are available for unstable AO A3 type trochanteric femoral fractures. We had good results by using these implants.
