Afghanistan Argentina Brazil Colombia Costa Rica Czech Republic Egypt Germany India Iran Italy Lebanon Lithuania Malaysia Netherlands Philippines Poland Portugal Romania Saudi Arabia Slovakia Switzerland United Arab Emirates Uruguay USA Venezuela Vietnam
Patients per continent
North America
0.38 %
Western Europe
47.32 %
Eastern Europe
33.72 %
Middle East
7.28 %
Far East
2.68 %
Africa
0 %
Latin America
7.85 %
Oceania
0 %
Age
Mean age of patients
41.7
years
Diseases out of
522 cases
None
86.21%
Osteoporosis
4.41%
Arthrosis
0.96%
Diabetes mellitus
2.3%
Dialysis
0.57%
Heart disease
6.13%
Pulmonary disease
0.38%
Cortisone medication
0.38%
Cancer
4.79%
Thrombosis
0%
Arterial obstructive disease
0.38%
Cirrhosis of the liver
0.19%
Chronic polyarthrosis
0%
Time after trauma
Mean time after trauma
4.3 days
Classification
A1
6.51 %
A2
17.82 %
A3
26.44 %
B1
8.81 %
B2
14.75 %
B3
11.49 %
C1
5.17 %
C2
4.41 %
C3
3.83 %
Fracture
Closed fracture
88.31%
1° open fracture
4.98%
2° open fracture
4.6%
3° open fracture
1.34%
Pathological fractures
Yes
3.26 %
No
96.74 %
Isolated versus multiply injured patients
Isolated femoral fractures
59.58 %
Multiply injured patients
40.42 %
Mean ISS of multiply injured patients
Head, face and neck
1.49
Thorax
1.31
Abdomen
0.66
Pelvis
0.55
Extremities
3.02
Body surface
0.95
Mean ISS of multiply injured patients
Total
23.45
Type of nail
Universal nail
17.24 %
UFN (Unreamed femoral nail)
37.36 %
CFN (Canulated femoral nail)
15.52 %
SUN-Nail (Simplified universal
nail)
0 %
DFN (distal femoral nail) with
bolts
7.28 %
DFN (distal femoral nail) with
spiral blade
3.45 %
PFN (Proximal femoral nail)
6.13 %
AFN (Antegrade femoral nail)
7.28 %
Other
4.98 %
Antegrade/retrograde technique
Antegrade
83.72 %
Retrogade
15.52 %
Diameter of nail
Mean diameter in
mm
10.6 mm
Length of nail
Mean length in mm
377.4 mm
Unreamed / reamed
Unreamed
56.13 %
Reamed
43.87 %
If reamed, reamed
to
11.22
mm
Ventilation days
Isolated
femoral fracture
Unreamed
0.04 days
Reamed
0 days
Multiply
injured patient
Unreamed
0.79 days
Reamed
0.98 days
Traction / no traction
Traction
56.51 %
No traction
43.49 %
Positioning
Lateral
8.81 %
Supine
91.19 %
Open / closed reduction
Open reduction
16.28 %
Closed reduction
83.72 %
Reduction and traction
Open reduction & no traction
11.69 %
Open reduction & traction
4.6 %
Closed reduction & no traction
31.03 %
Closed reduction & traction
51.92 %
Concomitant fracture
of femoral neck
No
96.36%
Yes preoperatively by trauma
1.53%
Yes intraoperatively by surgical procedure
1.34%
Concomitant fractures of the neck intraoperatively:
Traction versus no traction
With traction
1.15 %
Without traction
0.19 %
Revisions because of infection
Yes
1.34 %
No
98.66 %
Revision because of aseptic complications
out of 522 cases
