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 language | English (US) |
|---|---|
| Pages (from-to) | 773-779 |
| Number of pages | 7 |
| Journal | Journal of Bone and Joint Surgery - Series A |
| Volume | 63 |
| Issue number | 5 |
| State | Published - 1981 |
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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 journal › Article
}
TY - JOUR
T1 - Closed treatment of subtrochanteric fractures of the femur in a modified cast-brace
AU - DeLee, J. C.
AU - Clanton, T. O.
AU - Rockwood Jr, Charles A
PY - 1981
Y1 - 1981
N2 - 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.
AB - 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.
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UR - http://www.scopus.com/inward/citedby.url?scp=0019419098&partnerID=8YFLogxK
M3 - Article
VL - 63
SP - 773
EP - 779
JO - Journal of Bone and Joint Surgery - American Volume
JF - Journal of Bone and Joint Surgery - American Volume
SN - 0021-9355
IS - 5
ER -