The treatment of transtrochanteric fractures of the femur with a minimally invasive technique using an extramedullary implant MINUS System

Sawaia, Rogério Naim; Belangero, William Dias

doi:10.1007/s00264-006-0304-7

Cited by 5 publications

(3 citation statements)

References 17 publications

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“…The dynamic hip screw (DHS) with a four-hole side-plate and four bicortical screws is still considered to be a standard implant for pertrochanteric fractures (AO/ASIF 31A1+2) [3,7,8,10,[12][13][14][15]. The disadvantage of a four-hole sideplate as compared to a two-hole side-plate, as reported in the literature, is a longer incision, more invasive dissection of soft tissues associated with more intensive bleeding, longer surgical time and greater postoperative pain [1,4,6,9,16].…”

Section: Introductionmentioning

confidence: 99%

Internal fixation of pertrochanteric fractures using DHS with a two-hole side-plate

Říha

Bartoníček

2009

International Orthopaedics (SICOT)

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Pertrochanteric fracture in a group of 41 patients was internally fixed using a DHS with a two-hole side-plate. There were 20 male and 21 female patients with a mean age of 74 years. Thirty-two patients were followed up for more than one year and their final results were evaluated. There were 30 stable (31A1) and only two unstable (31A2) fractures. The average surgical time was 28 minutes, the average length of incision was 5.5 cm. All the patients, with one exception, healed without complications in anatomical position with good function of the hip joint. The only complication was caused by pulling-out of the plate from the femur in the fourth postoperative week when the patient (31A2 fracture) fell out of bed. A DHS with a four-hole side-plate was used at reoperation; subsequently the fracture had healed. Based on the results in this series of patients, the authors recommend fixation of stable pertrochanteric fractures with DHS and a two-hole side-plate. As proven by the authors, the benefit of DHS with a two-hole side-plate as compared to DHS with a four-hole side-plate is a shorter surgical time (28 and 36 minutes, respectively).

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Section: Introductionmentioning

confidence: 99%

Internal fixation of pertrochanteric fractures using DHS with a two-hole side-plate

Říha

Bartoníček

2009

International Orthopaedics (SICOT)

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“…The treatment that is best for transtrochanteric fractures of the femur, taking into account unstable fractures in particular, is still a matter for debate in the literature. The choice between extra and intramedullary systems is based not only on the stability factor but also on the biological advantage 5 , 13 , 14 , 15 , 16 and the final cost of the procedure 16 , 17 , 18 . Several studies have compared the two systems and have not found significant differences in relation to length of the surgery, blood loss, consolidation and postoperative mortality 18 , 19 , 20 .…”

Section: Final Remarksmentioning

confidence: 99%

The Minus® System Minimally Invasive Technique for the Treatment of Trantrochanteric Fractures

Sawaia

Belangero

2012

Revista Brasileira de Ortopedia (English Edition)

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The MINUS system was developed as a minimally invasive procedure that uses a diaphyseal cephalic extramedullary implant for the treatment of transtrochanteral fractures of the femur in elderly patients. The implant consists of a sliding screw coupled to a plate adapted to the minimally invasive technique. The surgical access is approximately three centimeters in length located on the lateral surface of the hip, below the projection of the small trochanter. A perfectly adapted instrument was used for the procedure, which also requires the use of an image intensifier, reducing surgery time and rate of bleeding. The objective of this study is to present a new instrument and implant, developed specifically for treatment with the minimally invasive technique, reducing the length of the conventional surgical access from 10 to three centimetres. This new implant was given the commercial name of MINUS System.

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“…The choice between extra and intramedullary systems is based not only on the stability factor but also on the biological advantage (5,(13)(14)(15)(16) and the final cost of the procedure (16)(17)(18) . …”

Section: Final Remarksmentioning

confidence: 99%

Sistema MINUS® - técnica minimamente invasiva para o tratamento das fraturas transtrocanterianas do fêmur

Sawaia¹,

Belangero²

2012

Rev. bras. ortop.

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The authors declare that there was no conflict of interest in conducting this work ABSTRACTThe MINUS system was developed as a minimally invasive procedure that uses a diaphyseal cephalic extramedullary implant for the treatment of transtrochanteral fractures of the femur in elderly patients. The implant consists of a sliding screw coupled to a plate adapted to the minimally invasive technique. The surgical access is approximately three centimeters in length located on the lateral surface of the hip, below the projection of the small trochanter. A perfectly adapted instrument was used for the procedure, which also requires the use of an image intensifier, reducing surgery time and rate of bleeding. The objective of this study is to present a new instrument and implant, developed specifically for treatment with the minimally invasive technique, reducing the length of the conventional surgical access from 10 to three centimetres. This new implant was given the commercial name of MI-NUS System.

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The treatment of transtrochanteric fractures of the femur with a minimally invasive technique using an extramedullary implant MINUS System

Cited by 5 publications

References 17 publications

Internal fixation of pertrochanteric fractures using DHS with a two-hole side-plate

Internal fixation of pertrochanteric fractures using DHS with a two-hole side-plate

The Minus® System Minimally Invasive Technique for the Treatment of Trantrochanteric Fractures

Sistema MINUS® - técnica minimamente invasiva para o tratamento das fraturas transtrocanterianas do fêmur

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