SEDL / STP / STP1008-EB / STP10379S

Rush Pin Intramedullary Fixation of Transverse Diaphyseal Femoral Fractures

Brueckmann, FR
Clinical professor of orthopedic surgery, Indiana University, Methodist Hospital, Orthopaedics-Indianapolis, Inc., Indianapolis, IN

Pages: 6    Published: Jan 1989

Download this paper for $25 PDF (128K)          View License Agreement
Abstract

The Indiana series is a series collected from 27 different surgeons, of 387 transverse diaphyseal femoral fractures, similarly classified and treated with nonreamed, 6.35-mm (1/4 in.) precurved Rush pins, is reported. Insertion sites are the lateral femoral condyle or greater trochanter. Reduction prior to surgery is accomplished with a special extension table with a knee support. Ninety percent of the fractures were pinned by closed technique. Open fractures occurred in 4.6% of the patients and were treated similarly. No persisting infection on nonunion was detected. Malalignment in external rotation or valgus or both was present in 1.3% of patients. Healing to painless weight-bearing is usually between ten and twelve weeks.