Double Axis Cephalocondylic Fixation of Stable and Unstable Intertrochanteric Fractures: Early Results in 60 Cases with the Veronail System
Α. Kouzelis, A. Kravvas, S. Mylonas, D. Giannikas, A. Panagopoulos*
Orthopaedic Department, University Hospital of Patras, GR, Papanikolaou str 26504 Rio, Patras, Greece
This prospective case-series, without control group, study presents our early experience in the
treatment of both stable and unstable peri-trochanteric fractures with a new cephalocondylic implant; the Veronail system.
Materials & Methods:
Enrolment in our study was from January 2008 through September 2009, with follow-up until
October 2011 (at least 1 year). During this period 65 consecutively patients with a fracture in the trochanteric region of the
femur (31.A1, A2 and A3 according to AO classification) were surgically managed and prospectively followed up for at
least one year. Average age was 78 years old (range 42 to 93) with 40 female and 25 male patients. All patients were
surgically treated using the Veronail system. Demographic and nursery data such as pre-existing illness, previous
ambulatory status, type of anaesthesia, duration of surgery, volume of blood loss, transfusions, length of hospital stay,
time to union and overall complications were systematically recorded and analysed.
Mean follow up was 17 months (range, 12 to 23 months). Radiological evaluation was performed at 1, 3, 6 and
12 months postoperatively, as well as at the last follow up visit. Clinical outcome was assessed using the parameters of
Harris Hip score. Solid union was achieved in 57/60 patients (95%) at a mean time of 12.5 weeks. Two fractures did not
progress to union. There were 3 superficial infections and 1 deep infection; all were successfully managed with
appropriate antibiotic treatment. The Harris hip score at the last follow up visit was excellent or good in 46 (77%) of the
In the face of the good clinical and radiological results we consider the Veronail system to be of particular
interest and perfectly adapted in primary surgery for both elderly and young patients.
open-access license: This is an open access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/2.5/) which permits unrestrictive use, distribution, and reproduction in any medium, provided the original work is properly cited.
* Address correspondence to this author at the Orthopaedic Department,
University Hospital of Patras, GR, Papanikolaou str 26504 Rio, Patras,
Greece; Tel: 00306944363624; E-mail: firstname.lastname@example.org