FEMORAL TARGETING DEVICE FOR INTERNAL FIXATION OF FEMORAL FRACTURES

摘要

Condylar plate fixation is used for Subtrochanteric fractures of femur, other choice of implants are dynamic compression screws (DCS), proximal femoral nails (PFN) and solid femoral nails using the spiral blade device. (Krettek C. et al; 1998). In treatment of complex- extraarticular fractures (33.A fractures), and simple intraacticular fractures (type C1.2), the classical implants, the Condylar plate 95 degrees, and DCS have proven to be reliable and effective. The Condylar plate fixation is more demanding partly because it needs more surgical skills and partly due to lack of suitable targeting device especially in presence of long segment of bone that require a long condylar plate fixation. It is obvious that the error of fixation will be much magnified if slight imperfection in introducing the blade part of the Condylar plate for that reason. I do believe that the New Targeting device is solving a lot of difficulties, depends on longer contoured flap shaft (3) to adapt for the curvature of the femur (6) and has specific Cannulated Guide box (1) for insertion of guide wires (4) prior to omplant fixation. The New Targeting Device has the advantages of easy applicability with higher degree of precision.