Evolving concepts of stability and intramedullary fixation of intertrochanteric fractures—A review

Kokoroghiannis, Constantine; Aktselis, Ioannis; Deligeorgis, Anastasios; Fragkomichalos, Evaggelos; Papadimas, Dimos; Pappadas, Ioannis

doi:10.1016/j.injury.2011.05.031

Cited by 124 publications

(97 citation statements)

References 51 publications

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“…Among the latter are transverse or reverse oblique but also multifragmentary fractures that sustain intra-or postoperative shattering of the lateral trochanteric wall. Nails seem to prevent failure by opposing the uncontrollable medialization, and eventual failure, that occurs under these circumstances [18]. In the last 3 years, several studies [13,14,33,36,45] report high union rates combined with low major complication and reoperation rates and decreased blood loss and hospital stay with the use of PFNA in peritrochanteric fractures and especially unstable types (Table 5).…”

Section: Discussionmentioning

confidence: 99%

Does PFNA II Avoid Lateral Cortex Impingement for Unstable Peritrochanteric Fractures?

Macheras

Koutsostathis

Galanakos

et al. 2012

Clinical Orthopaedics &Amp; Related Research

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Section: Discussionmentioning

confidence: 99%

Does PFNA II Avoid Lateral Cortex Impingement for Unstable Peritrochanteric Fractures?

Macheras

Koutsostathis

Galanakos

et al. 2012

Clinical Orthopaedics &Amp; Related Research

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“…Historically, a sliding compression screw has been the preferred implant [19,28,30,34]; however, cephalomedullary nailing has become an increasingly popular fixation technique for these fractures since its introduction in the 1980s [2,7,12]. Cephalomedullary nailing has theoretical advantages of being less invasive and biomechanically superior, providing a buttress to limit fracture collapse [21]. Multiple clinical trials and meta-analyses have directly compared the two techniques for treatment of these fractures [3, 18-20, 27, 28, 30, 34].…”

Section: Introductionmentioning

confidence: 99%

Which Fixation Device is Preferred for Surgical Treatment of Intertrochanteric Hip Fractures in the United States? A Survey of Orthopaedic Surgeons

Niu

Yang

Harris

et al. 2015

Clinical Orthopaedics &Amp; Related Research

109

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Background The best treatment for intertrochanteric hip fractures is controversial. The use of cephalomedullary nails has increased, whereas use of sliding hip screws has decreased despite the lack of evidence that cephalomedullary nails are more effective. As current orthopaedic trainees receive less exposure to sliding hip screws, this may continue to perpetuate the preferential use of cephalomedullary nails, with important implications for resident education, evidence-based best practices, and healthcare cost. Questions/purposes We asked: (1) What are the current practice patterns in surgical treatment of intertrochanteric fractures among orthopaedic surgeons? (2) Do surgical practice patterns differ based on surgeon characteristics, practice setting, and other factors? (3) What is the rationale behind

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“…In our study, radiological union was seen at 3 months to 5 months. oblique fractures with subtrochanteric extension, and fractures with loss of lateral buttress (greater trochanter comminution) [3] it is important to achieve near-anatomic reduction and maintain it till union, but this is not feasible when a DHS is used, as intra-and post-operative collapse may occur and lead to shortening or medialisation of the shaft [4] . The screw may back out of the DHS side plate, owing to increased stresses at the screw plate junction.…”

Section: Resultsmentioning

confidence: 99%

Proximal femoral locking plate: A good alternate in comminuted proximal femoral fractures

Shaik¹,

K²,

Sree³

2017

Int. J. Orthop. Sci.

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Introduction: Intertrochanteric and sub trochanteric fractures account for 50% of all fractures of the proximal femur. Surgical treatment is the preferred method in these fractures to reduce the complications of prolonged immobilization. Recently proximal femoral locking compression plate (PF-LCP) has been applied in the treatment of proximal femur fractures. Materials and methods: This is a prospective type of study of 12 cases of comminuted inter trochanteric and sub trochanteric fractures of femur treated surgically with proximal femoral locking compression plate (PF-LCP). All the cases were operated electivley on regular operation theatre days. Results: In age distribution, 6 (50%) patients were between 50-75years. The range of age was between 20-75 years, with mean age of 43.8years. In sex distribution, there were 8 (66%) males and 4(34%) females. Left lower limb was involved in 9 (75%) cases and right lower limb in 3 (25%) cases. In mode of injury, 8 cases (66%) were due to slip and fall and 4 cases (34%) were due to road traffic accident. Kickstand screw was used in 9(75%) cases and not used due to narrow femoral neck in 3(25%) cases. Proximal screw was back out two patients (16%). Varus collapse occurred in one patient (8%). Delayed union in two patients (16%). Conclusion:The PF-LCP is appropriate for complex and unstable proximal femoral fractures with poor bone quality.

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Evolving concepts of stability and intramedullary fixation of intertrochanteric fractures—A review

Cited by 124 publications

References 51 publications

Does PFNA II Avoid Lateral Cortex Impingement for Unstable Peritrochanteric Fractures?

Does PFNA II Avoid Lateral Cortex Impingement for Unstable Peritrochanteric Fractures?

Which Fixation Device is Preferred for Surgical Treatment of Intertrochanteric Hip Fractures in the United States? A Survey of Orthopaedic Surgeons

Proximal femoral locking plate: A good alternate in comminuted proximal femoral fractures

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