Closed treatment of subtrochanteric fractures of the femur in a modified cast-brace

J. C. DeLee, T. O. Clanton, Charles A Rockwood Jr

Research output: Contribution to journalArticle

28 Citations (Scopus)

Abstract

We studied a series of fifteen consecutive subtrochanteric fractures treated in a long quadrilateral cast-brace with a pelvic band. Patients with severely comminuted fractures in which stability cannot be obtained by internal fixation, as well as those with open fractures, are considered candidates for such treatment. Treatment with preliminary traction followed by an ambulatory cast-brace with a pelvic band resulted in a shorter period of treatment, an excellent range of motion of the hip and knee, and no non-unions in the fifteen comminuted or open fractures. Shortening, angulation, and rotational deformity were not significant complications. It must be emphasized that this treatment regimen requires exacting attention to detail by the treating physician. The amount of time needed from the physician in this form of treatment is considerably greater than that after open reduction and internal fixation.

Original languageEnglish (US)
Pages (from-to)773-779
Number of pages7
JournalJournal of Bone and Joint Surgery - Series A
Volume63
Issue number5
StatePublished - 1981

Fingerprint

Braces
Hip Fractures
Femur
Comminuted Fractures
Open Fractures
Physicians
Therapeutics
Traction
Articular Range of Motion
Hip
Knee

ASJC Scopus subject areas

  • Orthopedics and Sports Medicine
  • Surgery

Cite this

Closed treatment of subtrochanteric fractures of the femur in a modified cast-brace. / DeLee, J. C.; Clanton, T. O.; Rockwood Jr, Charles A.

In: Journal of Bone and Joint Surgery - Series A, Vol. 63, No. 5, 1981, p. 773-779.

Research output: Contribution to journalArticle

DeLee, J. C. ; Clanton, T. O. ; Rockwood Jr, Charles A. / Closed treatment of subtrochanteric fractures of the femur in a modified cast-brace. In: Journal of Bone and Joint Surgery - Series A. 1981 ; Vol. 63, No. 5. pp. 773-779.
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