The Curative Effect Comparison Between Prolonged Third Generation of Gamma Nail and Prolonged Dynamic Hip Screw Internal Fixation in Treating Femoral Intertrochanteric Fracture and the Effect on Infection

He, Wenye; Zhang, Wei

doi:10.1007/s12013-014-0251-7

Cited by 2 publications

(2 citation statements)

References 19 publications

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“…57 –59 Prolongation of surgery is associated with infection. 23,27,60 The use of plastic adhesive drapes can reduce bacterial load at the surgical site. 61 Overzealous powered reaming or drilling causes heat necrosis.…”

Section: Controllable Risk Factorsmentioning

confidence: 99%

Infection after fracture osteosynthesis – Part I

Fang

Wong

Lau

et al. 2017

J Orthop Surg (Hong Kong)

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Bone and surgical site infections after osteosynthesis are notoriously difficult to manage and pose a tremendous burden in fracture management. In this article, we use the term osteosynthesis-associated infection (OAI) to refer to this clinical entity. While relatively few surgically treated fractures become infected, it is challenging to perform a rapid diagnosis. Optimal management strategies are complex and highly customized to each scenario and take into consideration the status of fracture union, the presence of hardware and the degree of mechanical stability. At present, a high level of relevant evidence is unavailable; most findings presented in the literature are based on laboratory work and non-randomized clinical studies. We present this overview of OAI in two parts: an examination of recent literature concerning OAI pathogenesis, diagnosis and classification and a review of treatment options.

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Section: Controllable Risk Factorsmentioning

confidence: 99%

Infection after fracture osteosynthesis – Part I

Fang

Wong

Lau

et al. 2017

J Orthop Surg (Hong Kong)

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“…It is a major treatment for intertrochanteric fractures. [12][13][14][15] The proximal end and binding position of the plate have strong bending resistance so create strong fixation, better sliding function. It also has static and dynamic characteristics of pressurizing action and applies pressure on fracture ends.…”

Section: Discussionmentioning

confidence: 99%

Inter-Trochanteric Fractures;

Alam¹,

Jabeen

2019

TPMJ

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ABSTRACT… Introduction: Hip fractures are a leading cause of death and disability among elderly. Approximately half of these injuries are intertrochanteric fractures and the incidence is continuously increasing. These fractures are the most common injuries around the hip region and are more common in elderly people. Different types of implants were tried at different times for internal fixation of these fractures, of which dynamic hip screw has remained the most popular one. But with the advent of some newer implants, the efficacy of dynamic hip screw is being questioned. Objectives: To determine the results of dynamic hip screw as a method of internal fixation in closed stable as well as unstable intertrochanteric fractures of femur in adults. Design: Descriptive case series. Setting: The study was conducted in orthopedic department Allied Hospital Faisalabad. Period: 11months (from 26 th , march, 2015 to 25 th Feb, 2016). Subjects and Methods: Sixty cases of intertrochanteric fractures were included and operated for internal fixation with dynamic hip screw under fluoroscopic guidance. Pre, per and post-operative findings during hospital stay and follow-up period were recorded. Results: We had a total 60 cases, 20 patients in group A stable intertrochanteric fractures and 40 patients in group B unstable intertrochanteric fractures. We have reported the follow up study up to 20 weeks. There were 10 (50%) male and 10 (50%) female in group A. In group B 27 (67.5%) males and 13 (32.5%) females. The youngest pt was 25 years in group A and 16 years in group B. The mean age in group A was 59.10 and st/deviation 16.942. In group B mean age was 54.85 and st/ deviation 14.123. Infection rate in group A was 5%. In group B superficial infection was 5% and deep infection was 2.5%. Nonunion in both groups was 5%. The failure rate was 5% in group A and 20% in group B. Conclusion: The use of Dynamic hip screw with aside plate is associated with good results and acceptable complication rate. Dynamic hip screw is implant of choice in both stable and unstable intertrochanteric fractures.

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The Curative Effect Comparison Between Prolonged Third Generation of Gamma Nail and Prolonged Dynamic Hip Screw Internal Fixation in Treating Femoral Intertrochanteric Fracture and the Effect on Infection

Cited by 2 publications

References 19 publications

Infection after fracture osteosynthesis – Part I

Infection after fracture osteosynthesis – Part I

Inter-Trochanteric Fractures;

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