If the
extracapsular fracture has damaged the lateral buttress, the surgical option is an IM nail.
Extracapsular fracture was found in 46.1% patients followed by subcondylar fracture in 9.5% patients and intracapsular condylar frac- tures in 1.2% patients.
Moreover, this fracture type also poses a management problem, whether to treat it with osteosynthesis like an extracapsular fracture or with arthroplasty like an intracapsular fracture.
On the other hand, the treatment of choice for extracapsular fractures is a compression device (DHS/CHS) [6] as the blood supply is good and the chances of non-union and avascular necrosis are minimal.
201 patients with
extracapsular fractures (Evans type I-IV trochanteric fractures and basocervical femoral neck fractures) were screened on admission to our department (Figure 1) (Table 1).
The use of enders pins in
extracapsular fractures of the hip.
Johansen [5] classified Fractures in to radiographically into intracapsular and
extracapsular fractures and discussed about the treatment for the fractures.
Extracapsular fractures are generally treated with fixation using a dynamic hip screw or intramedullary nailing.
Patients with intracapsular fractures were more likely to achieve successful rehabilitation than those with
extracapsular fractures (69% versus 60%, p = 0.010-.025).
Thomas, "Proximal Femoral Nail Failures in
Extracapsular Fractures of the Hip, " Journal of Orthopaedic Surgery, Vol.
Thomas, "Proximal Femoral Nail Failures in
Extracapsular Fractures of the Hip," Journal of Orthopaedic Surgery, Vol.
al in his study done in 2005 quoted PFN as efficient means for treating
extracapsular fractures of proximal femur.
