The Journal of Bone and Joint Surgery, Vol 65, Issue 4 491-494, Copyright © 1983 by Journal of Bone and Joint Surgery, Inc
Fractures of the distal end of the femur below hip implants in elderly patients. Treatment with the Zickel supracondylar device
GJ Clancey, RF Smith and MB Madenwald
Four elderly patients with a fracture of the distal end of the femur below
a pre-existing non-cemented hip implant were treated with the Zickel
supracondylar device using a closed intramedullary technique. The results
were uniformly successful and there were no complications. This method is
recommended if the fracture is not comminuted and the proximal implant does
not so obstruct the femoral canal as to prevent the passage of the two
intramedullary rods.