Ergebnisse der operativen Versorgung instabiler pertrochantärer Femurfrakturen mittels DHS und T-Platte

Geissler, N; Meffert, O; Stapel, A.; Heymann, H.

doi:10.1007/bf02588168

Cited by 2 publications

(1 citation statement)

References 2 publications

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“…It is appropriate for all fracture types. Placement is simple, surgical time shorter than with a fixed plate, early load application is possible and infections are rarer [38] [51].…”

Section: Non-stable Pertrochanteric Fracturesmentioning

confidence: 99%

Fractures and Biomechanical Characteristics of the Bone

Velnar¹,

Bunc²,

Gradišnik³

2015

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The biological tissue is affected by external and internal deformation forces: tractive/tensile forces, shearing and compressive forces. The bone is deformed under the effect of a force. If the load exceeds the bone solidity limitation, fracture occurs. A mature bone consists of compact and spongy bone tissue. The basic structural unit of the cortical bone tissue are osteons and spongiosa consists of a network of bone trabeculae. The organic and mineral parts of the bone are responsible for the special bone characteristics. The effect of a physical activity on the mechanical characteristics of the bone is associated with the intensity of the load. Fractures are more common in elderly people as the bone structure is altered on account of osteoporosis and contains less bone tissue. Biomechanical characteristics with anatomic and histological bone structure as well as osteoporotic hip fractures are described in the paper.

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“…It is appropriate for all fracture types. Placement is simple, surgical time shorter than with a fixed plate, early load application is possible and infections are rarer [38] [51].…”

Section: Non-stable Pertrochanteric Fracturesmentioning

confidence: 99%

Fractures and Biomechanical Characteristics of the Bone

Velnar¹,

Bunc²,

Gradišnik³

2015

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Die Versorgung trochanterer Frakturen mit dem Gammanagel

et al. 2003

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The osteosynthesis of trochanteric fractures requires a minimal invasive technique to guarantee fully weight bearing and early rehabilitation in elderly patients. In this retrospective study we want to prove if the gamma nail meets all requirements and if the results improved after initiation of the new instrumentarium and standardization of the operative technique. From January 1992 until April 2000 we treated 387 patients with a gamma nail. The average age was 79.4 years. We used the new instrumentarium suitable for radiography since June 1996, the operative technique was standardized since the same time. The evaluation occurred on the basis of clinical and radiological findings included analysis of complications. We've seen intraoperative problems in 29% before June 1996, this rate could be reduced to 9%. General postoperative complications presented in equal frequency. After improvement of the technique dislocations of the neck screw and relevant sinking of the fractures were more rarely. The rate of reoperations after complications of the implant was 8% in both groups. In consideration of technical standards the postoperative full weight bearing and early mobilisation is possible even in old patients.

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Ergebnisse der operativen Versorgung instabiler pertrochantärer Femurfrakturen mittels DHS und T-Platte

Cited by 2 publications

References 2 publications

Fractures and Biomechanical Characteristics of the Bone

Fractures and Biomechanical Characteristics of the Bone

Die Versorgung trochanterer Frakturen mit dem Gammanagel

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