Abstract

• Extensive fracture of the femoral shaft involving subtrochanteric area present some troubles in mangagement because major compressive stress is borne at the fracture area. Most recent reviews advocate the operative treatment. But avascular fragnents resulted from extensive stripping of periosteum during the operation would make the time for getting the union and mechanical strength delayed. In reviewing three cases since 1985, which were followed-up for at least 3 yrs. 8 mons, we think that Judet plate is appropriate device in having the reduced fragments maintained, especially even when proper time for the operation has missed if following comments are kept in mind as ;
  1. Extensive bone grafts surrounding all the fracture lines and fragments and additional bone graft should be done whenever needed.
  2. Delay weight hearing until the fracture lines get united.
  3. Delay the removal of implants until the adequate mechanical strength has been retruned even if fracture lines wouldnr be observed on the X-ray film.
• Key words: Extensive femur shaft Fx. involving subtrochanteric area, Judet plate, Bone graft,

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