Functional Outcome in Treatment of Unstable Trochanteric and Subtrochanteric Fractures With the Proximal Femoral Nail and the Medoff Sliding Plate

Ekström, Wilhelmina; Karlsson-Thur, Charlotte; Larsson, Sune; Ragnarsson, Björn; Alberts, Karl-Akke

doi:10.1097/bot.0b013e31802b41cf

Cited by 97 publications

(61 citation statements)

References 26 publications

(25 reference statements)

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“…These studies, however, included only small numbers of patients (thirty-nine and twenty-six, respectively). Contradictory findings were also reported for patients with subtrochanteric fractures when either a 95°blade plate 38 or the Medoff sliding plate 39,40 was compared with an intramedullary nail. In our trial, the sliding hip screw (including a trochanteric stabilizing plate) appeared to be a valid option for treatment of these fractures.…”

Section: O Verall We Found Comparable Results Between Patients Treatmentioning

confidence: 61%

TRIGEN INTERTAN Intramedullary Nail Versus Sliding Hip Screw

Matre

Vinje

Havelin

et al. 2013

Journal of Bone and Joint Surgery

135

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Section: O Verall We Found Comparable Results Between Patients Treatmentioning

confidence: 61%

TRIGEN INTERTAN Intramedullary Nail Versus Sliding Hip Screw

Matre

Vinje

Havelin

et al. 2013

Journal of Bone and Joint Surgery

135

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“…20 Ekstrom et al reported a lower complication rate of 8%. 21 In the current study, we found that the treatment of pertrochanteric fractures treated with PF-LCP could lower the complication rate than other treatment modalities described above. In our study, there were no cases of inter operative and technical complication.…”

Section: Discussionmentioning

confidence: 68%

Proximal femur locking compression plate in complex proximal femoral fractures: a retrospective analysis

et al. 2016

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Background: Proximal femoral fractures are one of the most common fractures in old age patients. Fixation of these fractures is technically high demanding owing to the high risk of complications. The aim of our study is to analyze the outcomes of proximal femoral locking compression plate (PF-LCP) in these fractures.Methods: We retrospectively analyzed 18 proximal femoral fractures treated with PF-LCP from May 2012 to May 2015. There were 12 females (67%) and six males (33%) with an average age of 59.6 years (range, 32 to 84 years). The peritrochanteric fractures constituted by intertrochanteric and subtrochanteric fractures were classified by Boyd and Griffin classification along with Seinshemier’s classification, respectively. Among that, 14 cases (77%) were of intertrochanteric and four cases (23%) were of subtrochanteric fracture pattern. The functional outcome was evaluated by harris hip score and the parker palmer mobility score one year after surgery.Results: Among 18 patients, 16 patients obtained fracture union without further intervention; two patients required additional bone grafting. There were no cases of hip screw cutting the femoral head. There was no post-operative mortality in our study. The average harris hip score was 85.5 (83-94). The assessment by parker and palmar mobility score was 7.6 (range 4-9).Conclusions: The PF-LCP is a good stable alternative in the treatment of complex proximal femoral fractures. It provides good to excellent bone healing with limited complications.

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“…The perceived benefits are a minimally invasive insertion, rapid surgery and better biomechanical stability. [17][18][19][20][21] However in the meta analysis by Parker and Handoll there was no statistical difference in the operative time, blood loss or radiation exposure in analysis of 3500 patients. 4 Infact there were more chances of intra and postoperative fractures, technical complications and reoperation rates associated with the nailing group.…”

Section: Discussionmentioning

confidence: 99%

Minimally invasive dynamic hip screw for intertrochanteric fractures: comparison with conventional method and surgical tips

Vidyarthi¹,

Paluvadi

Sinha

2017

Int J Res Orthop

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Background: Intertrochantric fractures of the proximal femur are one of the most common injuries of the elderly. Prolonged duration and peroperative blood loss in this elderly frail population is one of the major problems in using the DHS. We performed minimally invasive DHS (MIDHS) implantation for such patients and compared results with conventional technique, hypothesising better perioperative outcomes.Methods: We operated upon 30 cases as the case group from June 2013 to August 2016 with this technique. Patients older than 60 years of age with BMI less than 25 with stable AO type fractures which were easily reducible without sag of the distal fragment were included. In a control group 30 patients who had their hip fracture fixed with a DHS placed through the conventional approach were included. These groups were matched for sex, age, ASA grade and fracture type according to the AO classification. All surgeries were performed within 3 weeks of injury. We studied the patients in terms of time taken for surgery, peroperative blood loss, postoperative pain scores, need for analgesics and improvement in postoperative mobilization and rehabilitation by HHS.Results: Blood loss, duration of surgery and average pain score were significantly lower (p <0.0001) for MIDHS group due to a smaller incision and less muscle dissection. The HHS was also significantly better at 10 days in the MIDHS group. Conclusions: Minimally invasive DHS is a simple and effective technique for fixation of intertrochantric fractures, especially in elderly, with reduced operative time, blood loss and postoperative pain scores leading to a more effective postoperative rehabilitation.

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Functional Outcome in Treatment of Unstable Trochanteric and Subtrochanteric Fractures With the Proximal Femoral Nail and the Medoff Sliding Plate

Cited by 97 publications

References 26 publications

TRIGEN INTERTAN Intramedullary Nail Versus Sliding Hip Screw

TRIGEN INTERTAN Intramedullary Nail Versus Sliding Hip Screw

Proximal femur locking compression plate in complex proximal femoral fractures: a retrospective analysis

Minimally invasive dynamic hip screw for intertrochanteric fractures: comparison with conventional method and surgical tips

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