Abstract:The main problems encountered in the management of comminuted four-part intertrochanteric fractures in the elderly are instability, severe osteoporosis and the need for early mobilization. Thirty-one patients, average age 75 years, with such fractures were operated on using a sliding blade-plate and the Debrunner-Cech valgus osteotomy. The follow-up was from 1-5 years with an average of 3.2 years. All patients were got out of bed on the first postoperative day and walked with help on the second day. The fractu… Show more
Based on theoretical and experimental considerations, the most adequate location of a lag screw of a dynamic hip screw should be inferior in the frontal plane and central in the coronal plane.
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