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The Journal of Bone and Joint Surgery, Vol 69, Issue 7 1032-1040, Copyright © 1987 by Journal of Bone and Joint Surgery, Inc

JOURNAL CONTENTS

Subtrochanteric fracture of the femur. Fixation using the Zickel nail

GD Bergman, RA Winquist, KA Mayo and ST Hansen
Department of Orthopaedics, University of Washington Hospitals and Clinics, Seattle.

We divided 131 patients who had a subtrochanteric fracture into four clinical groups: elderly patients who had a fracture secondary to minor trauma, patients who had a fracture due to high-energy trauma, those who had a pathological fracture, and patients who had a fracture that previously had been treated unsuccessfully with internal fixation. In each patient operative fixation was performed using the Zickel device, and overall satisfactory results were obtained in 90 per cent. Considering the challenging nature of subtrochanteric fractures, complications, which included a rate of non-union of approximately 5 per cent, were minimum. Technical details for each of the four groups are emphasized.
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