SEDL / STP / STP1008-EB / STP10375S

Intramedullary Fixation of Unstable Trochanteric Fractures of the Hip

Henry, SL
University of Louisville School of Medicine, Louisville, KY

Koenig, T
Hahnemann University, Philadelphia, PA

Rosenberg, S
Luthern Hospital, Fort Wayne, IN

Seligson, D
University of Louisville School of Medicine, Louisville, KY

Pages: 15    Published: Jan 1989

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Abstract

The Küntscher Y-nail is a two-piece intramedullary device used in the management of unstable trochanteric fractures. The Y-nail consists of a Küntscher intramedullary nail and a fenestrated femoral neck component. This device offers distinct biomechanical and clinical advantages when compared with the compression hip screw, blade-plate device, or other intramedullary fixation.

This retrospective study evaluated 137 patients with unstable fractures of the hip. Results were evaluated by specific criteria: pain, extremity shortening, range of motion, deformity, and ambulatory status. Management with the Y-nail resulted in 36% excellent, 44% good, 16% fair, and a 4% poor result. Clinical experience with this technique resulted in a short operative time, limited blood loss, decreased soft tissue trauma, and early patient ambulation.

The Küntscher Y-nail may provide a favorable alternative to other methods used for stabilization of fractures of the proximal femur.