This Article
Right arrow Full Text (PDF)
Right arrow Letters to the Editor: Submit a response
Right arrow Alert me when this article is cited
Right arrow Alert me when Letters to the Editor are posted
Right arrow Alert me if a correction is posted
Services
Right arrow Email this article to a friend
Right arrow Similar articles in this journal
Right arrow Alert me to new issues of the journal
Right arrow Add to My File Cabinet
Right arrow Download to citation manager
Right arrowReprints and Permissions
Citing Articles
Right arrow Citing Articles via Google Scholar
Google Scholar
Right arrow Articles by JOHNSON, L. L.
Right arrow Articles by ARNOT, J. P.
Right arrow Search for Related Content
PubMed
Right arrow Articles by JOHNSON, L. L.
Right arrow Articles by ARNOT, J. P.
Social Bookmarking
Add to CiteULike   Add to Connotea   Add to Del.icio.us   Add to Technorati  
What's this?
Journal of Bone and Joint Surgery, 1968;50:67-78.
© 1968 by The Journal of Bone and Joint Surgery, Inc

The Utilization of the Holt Nail for Proximal Femoral Fractures

A STUDY OF ONE HUNDRED AND FORTY-SIX PATIENTS

LANNY L. JOHNSON M.D.1, J. OTTO LOTTES M.D.1, and JOHN P. ARNOT M.D.1

1 From the Department of Orthopedic Surgery, Washington University, St. Louis, Missouri

Important technical requirements for the successful use of the Holt nail are outlined. Emphasis was placed upon obtaining and maintaining a good reduction of the fracture with special attention given to the integrity of the calcar femorale. The Holt nail provided an excellent means of treating base-of-the-neck fractures and simple intertrochanteric fractures. This method was satisfactory in treating comminuted intertrochanteric fractures. Early weight-bearing was possible with all of the three types of fractures. There was no advantage in utilizing a Holt nail over other types of nails in treating comminuted subtrochanteric femoral fractures. The highest incidence of implement complication was in this group.

Minimum migration of the nail was observed in all patients as impaction occurred with weight-bearing. Penetration was a complication in 8 per cent of patients. No fracture of the nail was observed, but fracture of the bolts occurred in nine patients. Measures to prevent these complications were discussed. There were thirteen surgical infections, and the mortality rate was similar to that of other series. The advantages of early weight-bearing were discussed.


Add to CiteULike CiteULike   Add to Connotea Connotea   Add to Del.icio.us Del.icio.us   Add to Technorati Technorati    What's this?