2021
DOI: 10.3390/medicina57070659
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Open Reduction in Subtrochanteric Femur Fractures Is Not Accompanied by a Higher Rate of Complications

Abstract: Background and Objectives: Hip fractures are among the most typical geriatric fractures. Subtrochanteric fractures are considered difficult to treat, and, to date, there is no consensus on the optimal surgical treatment. Materialis and Methods: We analyzed data from the Registry for Geriatric Trauma, which includes patients ≥ 70 years old with hip fractures or periprosthetic fractures requiring surgery (21,734 patients in 2017–2019). For this study, we analyzed only the subgroup of patients with a subtrochante… Show more

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“…Varus and procurvatum malunion or nonunion are the most common complications of IM fixation due mainly to improper intraoperative anatomical reduction. [13][14][15] We observed 1.61 % of varus deformity and a percentage of pseudarthrosis of 5.71% and 6.45%. Both results are in line with the current literature, which report an incidence of pseudarthrosis and of revision surgery from 2% to 10% and all patients presented a risk factor for non-union.…”
Section: Discussionmentioning
confidence: 99%
See 1 more Smart Citation
“…Varus and procurvatum malunion or nonunion are the most common complications of IM fixation due mainly to improper intraoperative anatomical reduction. [13][14][15] We observed 1.61 % of varus deformity and a percentage of pseudarthrosis of 5.71% and 6.45%. Both results are in line with the current literature, which report an incidence of pseudarthrosis and of revision surgery from 2% to 10% and all patients presented a risk factor for non-union.…”
Section: Discussionmentioning
confidence: 99%
“…Both results are in line with the current literature, which report an incidence of pseudarthrosis and of revision surgery from 2% to 10% and all patients presented a risk factor for non-union. [12][13][14][15][16] In 4 cases of implant failure hip replacement was needed in order to gain hip stability (Figure 3-4). Modular stems were used in order to obtain a fixation distal as needed and to reconstruct the proximal portion with the length of body.…”
Section: Discussionmentioning
confidence: 99%