Treatment of Intertrochanteric Fracture of the Femur Using Sliding Screw Plate Fixation

Wolfgang, Gary L.; Bryant, Maurice; O'Neill, Jenny

doi:10.1097/00003086-198203000-00022

Cited by 183 publications

(109 citation statements)

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“…Such an implant will tolerate greater weight-bearing forces than static devices [9]. Nevertheless, in elderly people with osteoporosis and complex intertrochanteric fractures, this technique does not allow for unrestricted weight bearing [20], and failure rates between 5% and 12% have been reported [10,11]. For these reasons some authors favour the use of endoprosthesis, which will allow early weight bearing with a lesser risk of mechanical problems.…”

Section: Discussionmentioning

confidence: 99%

Primary bipolar hemiprosthesis for unstable intertrochanteric fractures

Rodop

Kiral

Kaplan

et al. 2002

International Orthopaedics (SICOT)

118

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Between 1997 and 2001 we treated 54 elderly patients with unstable intertrochanteric fractures by primary hemiarthroplasty using a cemented bipolar prosthesis. Mean patient age was 75.6 (64-91) years and mean follow-up was 22.3 (5-48) months. Seven patients died before the fourth post-operative month. Thirty-three patients were able to walk with a walker in the first postoperative week. There were no dislocations or aseptic loosening. One deep infection was encountered after 1 year. Acetabular erosion was seen in one patient and non-union of the greater trochanter was seen in four. Five patients experienced leg-length discrepancy. We obtained 17 excellent and 14 good results after 12 months according to the Harris hip-scoring system. We observed that the inner motion of the bipolar head decreased over time.Résumé Entre 1997 et 2001 nous avons traité 54 malades âgés avec fracture intertrochanterienne instable par hémiarthroplastie utilisant une prothèse bipolaire cimentée. L'âge moyen des malades était 75.6 (64-91) années et le suivi moyen étaient 22.3 (5-48) mois. Sept malades sont morts avant le 4e mois post-opératoire. 33 malades étaient capables de marcher avec un déambulateur pendant la première semaine post-opératoire. Il n'y avait pas de luxation ni de descellement aseptique. Une infection profonde s'est manifestée après une année.Une érosion acétabulaire a été notée chez un patient et une non -consolidation du grand trochanter chez quatre patients. Cinq malades avaient une inégalité de longueur des membres inférieurs. Nous avons obtenu 17 excellents et 14 bons résultats après 12 mois d'après le score de Harris. Nous avons observé que le mouvement intérieur de la tête bipolaire a diminué avec le temps.

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Section: Discussionmentioning

confidence: 99%

Primary bipolar hemiprosthesis for unstable intertrochanteric fractures

Rodop

Kiral

Kaplan

et al. 2002

International Orthopaedics (SICOT)

118

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“…Treatment failure of unstable trochanteric fractures has been related to the type of internal fixation (Laros and Moore 1974, Jensen 1981, Anderson et al 1984, MGller et al 1984, Paaschburg Nielsen et al 1985, instability after fixation (Flores et al 1990), inadequate reduction, osteoporosis and poor placement of the screw in the femoral head (Laros and Moore 1974, Wolfgang et al 1982, Davis et al 1990). Currently, the compression hip screw (CHS), which allows impaction of the fracture, is commonest (Meislin et al 1990, Kyle et al 1994.…”

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confidence: 99%

RAB-plate vs Richards CHS plate for unstable trochanteric hip fractures: A randomized study of 233 patients with 1 -year follow-up

Buciuto¹,

Uhlin²,

Hammerby³

et al. 1998

Acta Orthopaedica Scandinavica

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“…Males are more susceptible to road traffic accidents and hence the preponderance of males in our study. A higher prevalence of stable fractures has been reported by Kuderna et al, Hughston et al, Wilson et al and Wolfgang et al 5,[14][15][16] However Neilson et al reported a higher prevalence of unstable fractures in their studies. 17 We had 50% prevalence of both stable and unstable fractures.…”

Section: Resultsmentioning

confidence: 82%

Comparative evaluation of dynamic hip screw and proximal femoral nail for fracture of intertrochanteric femur

2016

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Background: The aim of the present study was to compare the result in terms of rate of union, time of ambulation and functional recovery of fracture intertrochanteric femur treated by dynamic hip screw (DHS) and proximal femoral interlocking nail (PFN) and to compare complications in terms of implant failure, infection, blood loss and C arm exposure in both groups.Methods: This was a prospective study of 92 cases, 38 cases were treated by PFN and 54 cases were treated by DHS. Patients were followed up at 6, 12, 18 and 24 weeks. The results were compared for functional outcome using Palmer and Parker score and also for various complications.Results: Comparison of mobility score at six month follow up period revealed the PFN group to be significantly more mobile (5.8 Vs. 4.19 respectively, p <0.001) than the DHS group. In our study 6 patients managed with DHS (6.52%) developed superficial wound infection which responded to intravenous antibiotics. No patient with PFN had wound infection. Only 2 patients in the PFN group and 12 patients in the DHS group had persistent pain at the incision site.Conclusions: Dynamic hip screw fixation of these fracture requires less preoperative time, is associated with less exposure to radiation but the blood loss is much higher. On the contrary PFN allows faster mobilization and greater mobility scores at six months.

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Treatment of Intertrochanteric Fracture of the Femur Using Sliding Screw Plate Fixation

Cited by 183 publications

References 0 publications

Primary bipolar hemiprosthesis for unstable intertrochanteric fractures

Primary bipolar hemiprosthesis for unstable intertrochanteric fractures

RAB-plate vs Richards CHS plate for unstable trochanteric hip fractures: A randomized study of 233 patients with 1 -year follow-up

Comparative evaluation of dynamic hip screw and proximal femoral nail for fracture of intertrochanteric femur

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