Management of trochanteric fractures of the femur with external fixation in high-risk patients

Abstract

The aim of this prospective study was to assess

Management of Pertrochanteric Fractures in Elderly High-Risk Patients with an External Fixation

“…Together with the short operative time and early postoperative mobilization, all contributed towards early hospital discharge, faster recover, reduced morbidity and mortality and considerable decrease in the overall cost of treatment. The short intraoperative time, the short hospitalisation and the absence of need for peroperative blood transfusion were in accordance with previous studies [1,2,8,9,12,13,28,30,34,44,50,51] .All fractures showed union, with an average union time of 12.5 ± 1. 24 weeks, which is consistent with the published average range (11-14 weeks) [12,13,28,39,40,50] .…”

External Fixation for Stable and Unstable Intertrochanteric Fractures in Patients Older Than 75 Years of Age: A Prospective Comparative Study

“…9 External fixation promises minimal surgical stress in older patients with intertrochanteric hip fractures. 1,[10][11][12] However, some concerns have been raised regarding the potential increased incidence of nonunion, varus position of the fracture (greater than 10°), pin-site infection after application of the technique, and possible late stress fracture of the femoral shaft. 13 These risks could be higher in unstable fractures as a result of the inherent difficulty of achieving accurate fracture reduction and an uneventful fracture union.…”

Distal unlocked proximal femoral intramedullary nailing for intertrochanteric femur fractures

“…The most widely used extramedullary implant is the dynamic hip screw, which consists of a sliding neck screw connected to a plate in the lateral femoral cortex [3,4]. Intramedullary devices such as the Gamma nail and the proximal femoral nail (PFN) provide a biomechanical advantage due to their shorter lever arms and the diminished deforming forces across the implant.…”