Contemporary Management of Subtrochanteric Fractures

Joglekar, Siddharth; Lindvall, Eric M.; Martirosian, Armen

doi:10.1016/j.ocl.2014.09.001

Cited by 65 publications

(80 citation statements)

References 81 publications

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“…16 However no data exists on the complication of intramedullary nailing of subtrochanteric femur fractures due to gunshots. There were minimal post-operative complications in our patients, no cases of clinical malrotation, and our overall results showed an acceptable union rate.…”

Section: Nowotarski and Brumbackmentioning

confidence: 99%

Intramedullary nailing of subtrochanteric femur fractures caused by low velocity gunshots

Swanepoel¹,

Chivers²,

Leong³

et al. 2017

SA orthop. j.

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Section: Nowotarski and Brumbackmentioning

confidence: 99%

Intramedullary nailing of subtrochanteric femur fractures caused by low velocity gunshots

Swanepoel¹,

Chivers²,

Leong³

et al. 2017

SA orthop. j.

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“…9) and this can be achieved with constant vigilance of the surgeon throughout the procedure and medialisation of the reamers in every passage. Rotating the jig anteriorly so that the distal bend is facing laterally, and thus utilizing its bow to avoid penetrating the medial cortex can facilitate insertion of a trochanteric nail [74,82,83]. The nail should be sited without applying excessive force and ideally without hammering.…”

Section: Reduction/fixation Of Pertrochanteric Fracturesmentioning

confidence: 99%

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

Tosounidis

Castillo

Kanakaris

et al. 2015

Injury

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“…Because of the high stress concentration of the subtrochanteric region and high tension across the subtrochanteric area, the treatment of such fractures is challenging [1]. Complex fractures associated with comminution of the posteromedial cortex show a high incidence of xation failure and a high rate of nonunion [2].…”

Section: Introductionmentioning

confidence: 99%

“…Two main methods of treatment include intramedullary xation and extramedullary plates [3][4][5]. The complications that can often result from failed surgery are xation failure, malunion, nonunion, and infection [2]. These complications are associated with severe bone defects, articular damage, and even avascular necrosis of the femoral head.…”

Section: Introductionmentioning

confidence: 99%

Cementless total hip arthroplasty for failed treatment of subtrochanteric fracture

Jin

Kim

et al. 2020

Preprint

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Background Failed treatment of subtrochanteric fractures commonly leads to pain, limping, and poor function. Cementless total hip arthroplasty (THA) could be an option as a salvage procedure in such cases. This study was to evaluate the clinical and radiological results and complications of this treatment in our hospital. Method Eighteen cementless THAs for failed treatment of subtrochanteric fractures were performed at our institution between January 2001 to December 2017. There were eleven males and seven females, and the average age was 74 years (range 57.0-89.0). Eight patients were previously operated with an intramedullary nail, six patients were treated with a dynamic hip screw, two patients were treated with an angled blade plate, one patient was treated with a proximal femur locking plate, and one patient was treated with a dynamic compression plate. Results The mean follow-up was 5.2 years (range 2.2-10.8). The mean duration of the operation was 98.0 minutes (standard deviation [SD],15.4; range 70-135). The mean total blood loss was 992.2 mL (SD,171.2; range 640-1260 mL), and the amount of transfusion was 2.2 units (SD, 0.8, range 1-4). The mean Harris hip score (HHS) was 38.2 (SD, 9.3; range, 24-56) preoperatively and 85.4 (SD, 4.9; range, 79-92) at the last follow-up. Compared to the patients treated with plate-screws, those treated with an intramedullary nail had significantly shorter surgical duration, fewer blood transfusions, and less intraoperative blood loss. Kaplan-Meier survivorship with an endpoint of revision was 94.4% (95% confidence interval 72.7-99.9) at five years. Conclusion Cementless THA is one of the acceptable procedures for failed treatment of the subtrochanteric fracture with fewer complications.

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Contemporary Management of Subtrochanteric Fractures

Cited by 65 publications

References 81 publications

Intramedullary nailing of subtrochanteric femur fractures caused by low velocity gunshots

Intramedullary nailing of subtrochanteric femur fractures caused by low velocity gunshots

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

Cementless total hip arthroplasty for failed treatment of subtrochanteric fracture

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