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 Similar articles in PubMed
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 HighWire
Right arrow Citing Articles via Google Scholar
Google Scholar
Right arrow Articles by Sangeorzan, B. J.
Right arrow Articles by Salciccioli, G. G.
Right arrow Search for Related Content
PubMed
Right arrow PubMed Citation
Right arrow Articles by Sangeorzan, B. J.
Right arrow Articles by Salciccioli, G. G.
Social Bookmarking
Add to CiteULike   Add to Connotea   Add to Del.icio.us   Add to Technorati  
What's this?

The Journal of Bone and Joint Surgery, Vol 68, Issue 7 991-999, Copyright © 1986 by Journal of Bone and Joint Surgery, Inc

JOURNAL CONTENTS

Prophylactic femoral stabilization with the Zickel nail by closed technique

BJ Sangeorzan, JR Ryan and GG Salciccioli

From 1974 to 1983, forty-three femora in forty patients with metastases to the subtrochanteric area were stabilized using a Zickel subtrochanteric device. Thirty-five patients with thirty-eight stabilized femora could be evaluated at follow-up times ranging from thirty-seven days to five years and one month. In twenty-eight of the thirty-eight femora, a modified technique for insertion of the device had been used. Twenty-eight (80 per cent) of the patients were able to walk after an average of 3.8 days. No patient who had been able to walk preoperatively lost that ability. The average length of survival was 312 days postoperatively. Fifteen patients survived for at least fifteen months and five patients, with an average length of survival of 1276 days, were still alive at the time when this review was initiated. Complications included four perioperative deaths, one non-fatal pulmonary embolus, and five intraoperative technical complications--four of them occurring before the described modification of the technique was instituted. There were no infections and no failures of the device. No patient had a loss of stability after Zickel nailing. The modification of the technique allows safer introduction of the intramedullary nail into the weakened but intact femur by a closed method.
Add to CiteULike CiteULike   Add to Connotea Connotea   Add to Del.icio.us Del.icio.us   Add to Technorati Technorati    What's this?


This article has been cited by other articles:


Home page
 JBJSHome page
T. A. DAMRON and F. H. SIM
Instructional Course Lectures, The American Academy of Orthopaedic Surgeons - Operative Treatment for Metastatic Disease of the Pelvis and the Proximal End of the Femur*{{dagger}}
J. Bone Joint Surg. Am., January 1, 2000; 82(1): 114 - 26.
[Full Text]