The Journal of Bone and Joint Surgery, Vol 58, Issue 8 1061-1066, Copyright © 1976 by Journal of Bone and Joint Surgery, Inc
Intramedullary fixation of pathological fractures and lesions of the subtrochanteric region of the femur
RE Zickel and WH Mouradian
The Zickel intramedullary appliance was used without methylmethacrylate in
forty-six patients to stabilize thirty-five fractures and eleven impending
fractures associated with osseous lesions in the subtrochanteric region of
the femur. Early mobilization or ambulation was possible in nearly all
cases. The patients with actual fractures survived an average of 4.7
months, while those with lesions stabilized prophylactically survived an
average of 13.8 months postoperatively. Fourteen of the thirty-five
patients with fractures showed union after an average of 4.5 months.