Abstracts / Injury Extra 42 (2011) 95-169 107 tion of the original hip offset. The purpose of the present study was to assess whether this translated into an improved functional outcome.Methods: Our fracture outcomes database prospectively collects functional data on Hip Fracture patients twelve months following surgery. A retrospective analysis was carried out on data gathered from the previously studied cohort.Results: A consecutive series of 126 patients underwent surgery in a seven-month period in 2007. Three were excluded due to incomplete data. 55 received a Thompson stem and 68 an ETS stem. The mean age in each group was 82 years. The group receiving an ETS stem had poorer pre-morbid health (78% ASA 3 or 4) than those receiving a Thompson stem (62% ASA 3 or 4). 68% of ETS patients and 73% of Thompson patients were alive at 12 months. Increased numbers of patients with an ETS stem were mobile and walk unaccompanied at twelve months (70% ETS vs. 63% Thompson). However, of those mobile, increased numbers with a Thompson stem are mobile unaided (20% vs. 17%). Both patient groups had similar Barthel scores at twelve months.Discussion: Despite poorer pre-morbid health, patients receiving an ETS stem appear to be more mobile than those with a Thompson stem. Our study has shown that the ETS stem is inserted in an improved alignment and that this appears to translate to a better functional outcome at twelve months.Aim: To measure the distance between fractured head to lesser trochanter in intracapsular fracture neck of femur and correlate this with Garden classification to facilitate easy interpretation of these injuries.Methods and results: We included all patients who sustained displaced intra-capsular fracture neck of femur in between September 2010 to February 2011. Initially all fractures were classified according to Gardens classification by reviewing the antero-posterior radiographs of pelvis. The distance from the lowest point on the fractured head to a parallel line drawn at the highest point of lesser trochanter was measured and correlated with the garden classification.There were 24 Garden type IV fractures and 14 type III fractures. In type IV group there were 24 females and mean age at injury was 78 years (range 50-91 years). In type III group there were 9 female patients and average age at the time of injury was 79 years (range 64-91 years). The measured distance between the two reference points was 15.88 ± 7.85 mm (Range 0-27.2 mm) among completely displaced Garden IV fractures. Whereas in type III fracture, the measured distance was 31.30 ± 7.66 mm (range 21.4-47.7 mm). The difference mean scores between two groups were 15.42 mm and the minimum distance in type III fracture (21.4 mm) was 5.2 mm more than average for type IV fractures.Conclusion: The results clearly show that as the distance between head and lesser trochanter is more among less displaced Garden III type fractures. Where as in more displaced type IV fractures the distance is very less. This is very useful for trainees while analysing ...
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