Fracture and Dislocation Classification Compendium—2018

Eg, Meinberg; Agel, Julie; Cs, Roberts; Karam,; Jf, Kellam

doi:10.1097/bot.0000000000001063

Cited by 1,907 publications

(1,369 citation statements)

References 29 publications

Supporting

Mentioning

1,305

Contrasting

Unclassified

Order By: Relevance

“…9,25 However, the outcome depends on many additional factors; including: age of patient, time from injury to surgery and presence of concurrent medical conditions. In our study, 84.6% (22/26) [7][8][9][10][11][12][13][14][15][16][17][18][19][20] we conclude that both the CDHS and MIDHS were safe, simple and effective treatment methods. Many studies 14,15,16,26 on MIDHS fixation had shown good results for intertrochanteric fracture but well-designed prospective randomized trials were lacking and some of the studies 16 used a three-hole side plate and hence, their results could not be directly compared with our study where we used the four-hole side plate.…”

Section: Discussionmentioning

confidence: 54%

“…The study was conducted in accordance with the Helsinki declaration, 17 Patient Selection -Inclusion/ Exclusion Criteria: 79 cases of Intertrochanteric fracture of the femur presenting to the Emergency and Out-patient department of the institute between May 2014 and April 2015 were classified according to AO classification. 18 Total of 65 patients aged 20 years and above with AO/OTA 31-A1, 31-A2 fractures presenting within first 2 weeks that could be reduced adequately by closed manipulation (anatomical to 10° of valgus on AP and posterior angulation < 5° on lateral view) and who were able to walk without any assistance before injury were included. However, patients with bilateral hip / multiple / compound fractures, nonunion or pathological fractures, previous ipsilateral hip fracture or surgery, congenitally deformed or abnormally bowed femur and patients not fit for anesthesia were excluded (n= 14).…”

Section: Methodsmentioning

confidence: 99%

“…JBPKIHS 2018;1 (2): [7][8][9][10][11][12][13][14][15][16][17][18][19][20] the most frequently occurring manifestations of this injury. 4,5 Despite many options, [6][7][8] Dynamic Hip Screw (DHS) and plates with varying numbers of holes 9,10,11 is the standard choice for achieving rigid fixation and early mobilization of people with intertrochanteric femoral fracture since it yields reproducibly reliable results.…”

Section: Comparison Of the Outcome Between Conventional Open Techniqumentioning

confidence: 99%

See 2 more Smart Citations

Comparison of the Outcome between Conventional Open Technique and Minimally Invasive Technique Using Dynamic Hip Screw for Fixation of Inter-Trochanteric Fracture of Femur

Maharjan

Paneru

Rijal

et al. 2018

Jnl. BP Koirala Inst. Health Sci.

View full text Add to dashboard Cite

Background: Inter-trochanteric fracture of femur causes significant morbidity and mortality in elderly. Dynamic Hip Screw (DHS) fixation is the most effective and safe method of treatment. Conventional open technique (CDHS) is the popular and familiar one; however, minimal incision technique (MIDHS) has many advantages like: smaller incision, lesser dissection/blood loss, less requirement of transfusion, less painful, faster recovery etc. Objectives: To Compare CDHS and MIDHS technique of DHS fixation for inter-trochanteric fracture femur in terms of functional outcome, safety and associated complications (if any).Methods: Eligible patients presenting within study period were randomized into CDHS group (n= 33) and MIDHS group (n= 32). Success of randomization was tested by analyzing demographics, injury characteristics and pre-op. clinical data (p> 0.05). They were followed up at 2, 6, 12, 24 and 52 weeks post-op. for clinico-radiological and functional assessment. Results: The duration of surgery, lag screw positioning, post-operative hospital stay and surgical site infection were not significantly different between the groups. However, need for blood transfusion, length of incision and postoperative VAS score for pain were significantly lesser for MIDHS group than CDHS group (p< 0.05). Patients in MIDHS group started walking with aids significantly earlier in post-operative recovery period. The Harris Hip Score at final follow-up and grading of the results and surgical complications were not significantly different between the groups. Conclusion:The minimal incision technique had various immediate / short term advantages over conventional technique; like: minimal scar, minimal soft tissue dissection / less blood loss requiring less transfusion, lesser pain in post-operative period and ability to ambulate early.

show abstract

Section: Discussionmentioning

confidence: 54%

Section: Methodsmentioning

confidence: 99%

Section: Comparison Of the Outcome Between Conventional Open Techniqumentioning

confidence: 99%

See 1 more Smart Citation

Comparison of the Outcome between Conventional Open Technique and Minimally Invasive Technique Using Dynamic Hip Screw for Fixation of Inter-Trochanteric Fracture of Femur

Maharjan

Paneru

Rijal

et al. 2018

Jnl. BP Koirala Inst. Health Sci.

View full text Add to dashboard Cite

show abstract

“…2b). The AO/OTA classification scheme failed to properly categorize this special fracture type properly [8]: on the plain radiograph, the coronally oriented secondary fracture line made the measurement of the lateral wall thickness unreliable and generated great confusion in differentiating AO-31 A1 GT from A2. In contrast, the classification system we devised in this study depicted each case briefly and concisely.…”

Section: Resultsmentioning

confidence: 99%

Reverse wedge effect following intramedullary nailing of a basicervical trochanteric fracture variant combined with a mechanically compromised greater trochanter

Zhang

2020

BMC Musculoskelet Disord

View full text Add to dashboard Cite

Background: To introduce an unreported intraoperative complication in intramedullary nailing (IN) of an anatomically reduced trochanteric fracture variant characterized by a basicervical fracture line and coronally disrupted greater trochanter (GT). Methods: A total of 414 trochanteric fractures (TF) treated with intramedullary nails from 2013 to 2017 were included in this study. After analysis of intraoperative fluoroscopy data, 33 cases, including 21 females and 12 males, with a mean age of 72.5 years (33 to 96 years) were identified for internal rotation of the cephalocervical fragment and inferior opening at the basicervical fracture line caused by nailing a satisfactorily reduced TF. The morphological features of this group of patients were analyzed on computed tomography (CT) scan. On radiograph, the magnitude of the displacement and final femoral neck-shaft angle (NSA) were measured. Results: CT analysis demonstrated that the basicervical fracture line and the posterolateral fragment (PLF) detached from the GT were the two dominant features of this cohort. They were classified according to the number of main fragments: a 3-fragmentary subgroup containing three consistent fragments (cephalocervical fragment, PLF and distal femoral shaft) and a 4-fragmentary subgroup embracing one additional fragment (lesser trochanter). The four subtypes were as follows: the 3-fragmentary S indicating a small PLF (6 cases), the 3-fragmentary M presenting a moderate PLF (3 cases), the 3-fragmentary L standing for the PLF involving whole lesser trochanter (LT) (4 cases) and the 4-fragmentary GL incorporating separated PLF and LT fragments (20 cases). Geological analysis demonstrated that the majority of the basicervical fracture lines (81.8%) just crossed the center of the piriformis fossa, while the others marginally involved the medial wall of the GT. Postoperatively, the mean width of the inferior opening at the basicervical region was 9.2 ± 4.6 mm. The mean NSA was 135.2 ± 7.8 degrees. The comparison between the 3-and 4-fragmentary subgroups revealed no significant differences in magnitude of displacement and NSA. (Continued on next page)Conclusion: This unreported intraoperative complication predominantly occurred in the intramedullary nailed basicervical trochanteric fracture variant combined with a PLF from the GT. The magnitude of the secondary displacement was substantial and resulted in a relative valgus reduction. This secondary displacement was caused by an impingement of the reamer with the superolateral cortex of the cephalocervical fragment and should be addressed during the operation. Level of evidence: Therapy IV.

show abstract

“…If published data are useful when it comes to changing the way we treat fractures in order to improve the situation for our patients, it is more likely that the register will continue to receive funding. One recent problem is whether to change the whole structure of the register to match the new version of the AO/OTA Classification that has been developed [7]. …”

Section: Difficulties and Opportunitiesmentioning

confidence: 99%

Implementation of the Swedish Fracture Register

Wennergren

Möller

2018

Unfallchirurg

View full text Add to dashboard Cite

Large financial resources are needed to treat fractures. Surprisingly little is, however, known about actual numbers, treatment methods or outcomes. A large population-based observational study can add valuable knowledge, especially if patient-reported results are included. There is no previous national fracture register with prospectively collected data on fractures of all types, treated surgically as well as non-surgically. With the implementation of the Swedish Fracture Register (SFR), we have shown that this is possible. More than 285,000 fractures have been registered. The database is increasing at a rate of 70,000 fractures a year, i. e. one fracture every 7 min. The aim of this article is to describe the first seven years in the history of the SFR, with opportunities for the future as well as limitations.

show abstract

Fracture and Dislocation Classification Compendium—2018

Cited by 1,907 publications

References 29 publications

Comparison of the Outcome between Conventional Open Technique and Minimally Invasive Technique Using Dynamic Hip Screw for Fixation of Inter-Trochanteric Fracture of Femur

Comparison of the Outcome between Conventional Open Technique and Minimally Invasive Technique Using Dynamic Hip Screw for Fixation of Inter-Trochanteric Fracture of Femur

Reverse wedge effect following intramedullary nailing of a basicervical trochanteric fracture variant combined with a mechanically compromised greater trochanter

Implementation of the Swedish Fracture Register

Contact Info

Product

Resources

About