[Surgical treatment of unstable trochanteric fractures of the femur. IV. Evaluation of the surgical treatment of trochanteric fractures of the femur using intramedullary Y nails].

Here is shown a method of operating a trochanteric fractures of the femur by use of a modified intramedullary Y nail. During a period of 18 months this method was performed on 36 patients with unstable trochanteric fractures. It was established that this operating procedure is simple, from a technical point of view. It ensures excellent stabilization of bone fragments in all types of trochanteric fractures, including fractures of the IV degree, as well as enabling the patient to be completely weight bearing immediately after operation on the injured extremity. Stabilization of bone fragments in trochanteric fractures can be achieved due to the fact that part of the intramedullary nail is 3/4 the length of the femur. The possibility of early weight bearing on the operated extremity caused that 70% of operated patients regained efficiency of movement similar to efficiency prior to fracture of the extremity, 6 weeks after being operated on.