Treatment of unstable trochanteric fractures

Schipper, I.B.; Steyerberg, Ewout W.; Castelein, René M.; Heijden, F.H.W.M. van der; Hoed, P.T. den; Kerver, A. J. H.; Vugt, A.B. van

doi:10.1302/0301-620x.86b1.14455

Cited by 239 publications

(79 citation statements)

References 38 publications

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“…Poor reduction was noted in 8% of patients and it was associated with poor outcome. In SCHIPPER et alstudy 16 , reduction was good to acceptable in 96.2% of their patients and poor reduction was seen only in 2.9% of their patients.…”

Section: Discussionmentioning

confidence: 89%

Management of Subtrochanteric Fractures with Long PFN: Union Rates and Functional Results

2017

IJCRR

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Section: Discussionmentioning

confidence: 89%

Management of Subtrochanteric Fractures with Long PFN: Union Rates and Functional Results

2017

IJCRR

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“…Schipper series. 2 82.2 years. The ratio between males and females was found to be 1:1, whereas female preponderance was reported by Boldin et al (70%) and I.B.…”

Section: Discussionmentioning

confidence: 99%

“…(9) of patients and most of the time in 11.1%. (2) of patients. Only one patient required crutch for mobilization.…”

Section: Discussionmentioning

confidence: 99%

Evaluation of Results in Intramedullary Fixation of Subtrochanteric Fracture of Femur With Proximal Femoral Nailing (Ao Type of Design)

D¹,

Anand²,

Y³

2016

jemds

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BACKGROUNDAmong the femoral shaft injuries, upper femoral fractures present a peculiar problem of securing effective neutralization of deforming forces. The mechanical stresses at this level are very high, as they occur at the junction between the trabecular and cortical zone and also because of the deforming forces due to peculiar muscle insertion to the proximal and distal fragments. The present study was conducted to assess the utility and effectiveness of Proximal Femoral Nail evolved by AO-ASIF in 1997, for various types of upper femoral fractures.

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“…Until recently, most of these fractures were treated by a sliding hip screw system. 5 Since this device performed less well in unstable proximal femoral fractures with high rates of failure, intramedullary fixation devices using minimal invasive fracture fixation technique have become increasingly popular.…”

Section: Introductionmentioning

confidence: 99%

“…Therefore, improvement in the treatment of proximal femoral fractures will be predominantly in the hands of the surgeons, rather than those of the implant industry. 5 …”

Section: Introductionmentioning

confidence: 99%

A Prospective Study of Treatment of Intertrochanteric Fracture Femur With Trochanteric Entry Nail in Adults

Reddy¹,

M²

2016

jemds

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In the current series, we have done a randomized study of 50 cases of intertrochanteric fracture femur treated by minimally invasive intramedullary fracture fixation technique using trochanteric entry femoral nail. All the cases have been operated by senior Orthopaedic surgeons or have been operated under their guidance and supervision. All the cases have been followed up for a minimum period of 4-12 months. Average follow-up is 4 months. The results have been evaluated on the basis of Harris Hip Score. The results of this study have been compared to the I. B. Schipper series Gamma Nail and Proximal Femoral Nail in 424 cases of peritrochanteric fractures are done. The stable variety of intertrochanteric fractures (AO Type 31A.1) have good-to-excellent results in all the patients in the present series. The unstable variety (AO Type 31A.2 and A.3) in the current series have good to excellent results in 79% cases and fair results in 17.64% cases. However, various studies with extramedullary implants have shown only 59% good results. In the reverse oblique type of fracture as well as with subtrochanteric extension, Trochanteric entry femoral nail has given consistently good results, whereas studies with extramedullary implants have shown only 36% good results. So there is distinct advantage of intramedullary fixation in unstable varieties. The present study shows that trochanteric entry femoral nail has definite clear advantage over extramedullary implants in unstable fractures. At the same time, the implant that has good results in unstable fractures can always be used for stable fractures also.

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Treatment of unstable trochanteric fractures

Cited by 239 publications

References 38 publications

Management of Subtrochanteric Fractures with Long PFN: Union Rates and Functional Results

Management of Subtrochanteric Fractures with Long PFN: Union Rates and Functional Results

Evaluation of Results in Intramedullary Fixation of Subtrochanteric Fracture of Femur With Proximal Femoral Nailing (Ao Type of Design)

A Prospective Study of Treatment of Intertrochanteric Fracture Femur With Trochanteric Entry Nail in Adults

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