Managing AVN following internal fixation: Treatment options and clinical results

Unstable intertrochanteric femur fractures in geriatric patients treated with the DLT trochanteric nail

“…The overall time from the day of admission to surgery averaged 2.9 days (2-6). The mean postoperative followup time was 18.3 months (12)(13)(14)(15)(16)(17)(18)(19)(20)(21)(22)(23)(24)(25)(26).…”

“…The management of proximal femoral fractures has had a lot of attention recently in the literature [19][20][21][22][23][24][25]. In the elderly population with unstable intertrochanteric fractures, stable fixation is essential to allow early mobilization and to minimize the risk of morbidity and mortality.…”

“…TAD was <25 mm in 29 patients (90.6%) and 25 mm in 3 patients (9.4%). The mean tip-apex distance was 15.5 mm (10)(11)(12)(13)(14)(15)(16)(17)(18)(19)(20)(21)(22)(23)(24)(25)(26)(27). The early postoperative and last follow-up mean collo-diaphyseal angles were 129.18 (120-1408) and 128.68 (120-1358), respectively (p > 0.05).…”

Should full threaded compression screws be used in adult femoral neck fractures?

“…Compression screws (CS) and fixed-angle dynamic implants, or a combination of both, promote union during weight bearing by allowing the fracture fragments to slide along the implant while being axially loaded [20]. The use of the multiple compressive screws has been advocated for Garden types 1 and 2 in attaining union [30,31]. A review of randomized trials that have compared the different implants reported that multiple screws supply better stabilization of fixation than pins [32].…”

Common complications in hip fracture surgery: Tips/tricks and solutions to avoid them

“…It has been suggested that avascular necrosis of the femoral head due to trauma is a complication most commonly encountered in younger patients with femoral neck fractures [26] but limited high quality evidence is available in relation to its diagnostics and management which are based on the overall broad diagnosis of osteonecrosis [27]. On the other hand, there are studies supporting that the incidence of AVN is higher after internal fixation in elderly [28].…”