Advertisement
Research Article| Volume 18, ISSUE 1, P24-27, January 1987

The Pugh nail-plate—a low incidence of device failure

      This paper is only available as a PDF. To read, Please Download here.

      Abstract

      A consecutive series of 118 patients with fracture of the proximal end of the femur treated by the Pugh nail-plate, is reported. The contribution of failure of the device to failure of fixation is analysed. Fifteen subjects had a failure of fixation either requiring removal of the implant or resulting in malunion of the fracture. In only 2 of the fractures for which the nail-plate was designed could failure be directly attributed to the device alone. In the remaining failures of fixation the device was inappropriately used or inserted.
      To read this article in full you will need to make a payment

      Purchase one-time access:

      Academic & Personal: 24 hour online accessCorporate R&D Professionals: 24 hour online access
      One-time access price info
      • For academic or personal research use, select 'Academic and Personal'
      • For corporate R&D use, select 'Corporate R&D Professionals'

      Subscribe:

      Subscribe to Injury
      Already a print subscriber? Claim online access
      Already an online subscriber? Sign in
      Institutional Access: Sign in to ScienceDirect

      References

        • Brown T.I.S.
        • Court-Brown C.
        Failure of sliding nail plate fixation in subcapital fractures of the femoral neck.
        J. Bone Joint Surg. 1979; 61B: 342
        • Clawson D.K.
        Trochanteric fractures treated by the sliding screw plate fixation method.
        J. Trauma. 1964; 4: 737
        • Fielding M.D.
        The telescoping Pugh nail in the surgical management of the displaced intracapsular fracture of the femoral neck.
        Clin. Orthop. 1980; 152: 123
        • Frandsen P.A.
        • Andersen P.E.
        Treatment of displaced fractures of the femoral neck. Smith-Petersen osteosynthesis versus sliding nail plate osteosynthesis.
        Acta Orthop. Scand. 1981; 52: 547
        • Garden R.S.
        Low angle fixation in fractures of the femoral neck.
        J. Bone Joint Surg. 1961; 43B: 647
        • Kyle R.F.
        • Wright T.M.
        • Burstein A.H.
        Biomechanical analysis of the sliding characteristics of compression hip screws.
        J. Bone Joint Surg. 1980; 62A: 1308
        • Nordkild P.
        • Sonne-Holm S.
        • Jensen J.S.
        Femoral neck fracture: sliding screw plate versus sliding nail plate—a randomized trial.
        Injury. 1985; 16: 449
        • Pugh W.L.
        A self-adjusting nail plate for fractures about the hip joint.
        J. Bone Joint Surg. 1955; 37A: 1085
        • Rau F.D.
        • Manoli A.
        • Morawa L.G.
        Treatment of femoral neck fractures with the sliding compression screw.
        Clin. Orthop. 1982; 163: 137
        • Sahlstrand T.
        The Richards compression and sliding hip screw system in the treatment of intertrochanteric fractures.
        Acta Orthop. Scand. 1974; 45: 213
        • Stewart H.D.
        Pugh's nail fixation versus Thompson's prosthesis for displaced subcapital fractures of the femur.
        Injury. 1984; 15: 227