Document Type

Article

Publication Date

1-1-2009

Abstract

Issues that had been encountered during proximal femoral fracture fixation using proximal femoral nail include i) the adequacy of the femoral neck width in the local population and ii) the potential difficulty encountered during fixation in certain prefixed angles as determined by the implant. This was a retrospective, descriptive study evaluating the anterior-posterior pelvic radiographs of 100 consecutive patients, from January to August 2007, managed at University Malaya Medical Centre, Kuala Lumpur. The femoral neck width in the population studied was adequate for placement of femoral neck screw and anti-rotation pin or hip pin using the proximal femoral nail implant. (mean = 34.0±3.7mm, min = 24.6mm). There was no significant difference between the working area using an implant angled at 130° or 135° (P=0.91). Both femoral neck width and neck shaft angle of the Malaysian population studied were not a factor influencing the placement of femoral neck lag screws and anti-rotation pin.

Keywords

Femur neck, Intramedullary nailing, Hip fractures, Intertrochanteric fractures, Subtrochanteric fractures

Publication Title

Medical Journal of Malaysia

ISSN

0300-5283

Divisions

fac_med

Volume

64

Issue

1

Publisher

Malaysian Medical Association

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