Trochanteric Management for Unstable Intertrochanteric Femoral Fracture in the Elderly Patients

Kho, Duk-Hwan; Shin, Ju-Yong; Kim, Kihwan; Lee, Jun-Hyuck; Kim, Dong-Heon

doi:10.12671/jkfs.2007.20.2.129

Cited by 4 publications

(1 citation statement)

References 16 publications

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“…현재까지 전자간 골절에 대하여 인공 고관절 반치환술을 시행한 뒤 추가적으로 대전자부 골절편을 고정하는 방법으 로는 강선 및 케이블 고정술 9) , 긴장 강선 고정술이나 변형 된 긴장 강선 고정술 10) , 대전자 재부착 기구 11) , 갈고리 금속 판(claw plate) 12 …”

Section: Weon-yoo Kim Et Al: Ao Trd In Arthroplasty For Intertrochanunclassified

Fixation of Greater Trochanter Using an AO Trochanteric Reattachment Device (AO TRD) in Arthroplasty for Intertrochanteric Femur Fracture of Elderly Patients

Kim

Jeong

et al. 2013

Hip & Pelvis

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Purpose:The purpose of this study is to evaluate the efficacy of the trochanter reattachment device (TRD) as a firm internal fixation method for bipolar hemiarthroplasty in unstable intertrochanteric femur fracture for elderly patients over 65 years old. Materials and Methods: From September 2010 to April 2011, 19 patients (M/F: 1/18) over 65 years old were treated with bipolar hemiarthroplasty using the TRD as a fixation method for intertrochanteric femur fracture with above Evans-Jensen classification 2nd (above AO/OTA A1.3). They were followed up for more than 12 months(12-29 months). Results: Out of 19 patients, only one had loosening of the TRD plate and reoperation was performed. There was no dislocation after surgery. Complete fracture union was observed in 19 patients with follow up of more than 12 months. Conclusion: In bipolar hemiarthroplasty for intertrochanteric femur fracture, TRD produced easy and firm fixation. Additional fixation with TRD restoring abduction force by union of greater trochanter can be a good choice of surgery for avoidance of dislocation and chronic pain due to trochanteric nonunion after arthroplasty.

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Section: Weon-yoo Kim Et Al: Ao Trd In Arthroplasty For Intertrochanunclassified

Fixation of Greater Trochanter Using an AO Trochanteric Reattachment Device (AO TRD) in Arthroplasty for Intertrochanteric Femur Fracture of Elderly Patients

Kim

Jeong

et al. 2013

Hip & Pelvis

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Outcomes of dynamic hip screw augmented with trochanteric wiring for treatment of unstable type A2 intertrochanteric femur fractures

Puram

Pradhan

Patil

et al. 2017

Injury

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Bipolar Hemiarthroplasty Using the Greater Trochanter Reattachment Device (GTRD) for Comminuted Intertrochanteric Femur Fracture in Elderly Patients

Kim

Jung

et al. 2009

J Korean Fract Soc

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Purpose: To evaluate the clinical and radiological outcome of the greater trochanter reattachment device (GTRD) as firm fixation method for displaced greater trochanter fragment in bipolar hemiarthroplasty for comminuted intertrochanteric femur fracture in elderly patients. Materials and Methods:From January 2006 to January 2008, 32 patients above 70 years old treated with bipolar hemiarthroplasty using the GTRD as fixation method for comminuted intertrochanteric femur fracture with greater trochanter bone fragment displaced above 1 cm. They were followed up for more than one year. Clinically, the postoperative Harris hip score (HHS) and daily activities of life of Johnston et al were evaluated, and radiological, any displacement of greater trocharter bone fragments and/or GTRD. Results: The mean postoperative HHS was 71.6 (range, 53∼82) points. In rating the daily activity of life, twenty seven (84.4%) patients` postoperative results were above fair. Two patients (6.3%) had displacement of the greater trochanter bone fragment above 1 cm. One patient had a deep infection, so we removed the bipolar head and inserted antibiotics-loaded cement block instead, and after the infection was controlled, conversion to total hip arthroplasty was done. Conclusion:In bipolar hemiarthroplasty for comminuted intertrochanteric femur fracture with displaced greater trochanter bone fragment, GTRD produced satisfactory results and early rehabilitation.

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Trochanteric Management for Unstable Intertrochanteric Femoral Fracture in the Elderly Patients

Cited by 4 publications

References 16 publications

Fixation of Greater Trochanter Using an AO Trochanteric Reattachment Device (AO TRD) in Arthroplasty for Intertrochanteric Femur Fracture of Elderly Patients

Fixation of Greater Trochanter Using an AO Trochanteric Reattachment Device (AO TRD) in Arthroplasty for Intertrochanteric Femur Fracture of Elderly Patients

Outcomes of dynamic hip screw augmented with trochanteric wiring for treatment of unstable type A2 intertrochanteric femur fractures

Bipolar Hemiarthroplasty Using the Greater Trochanter Reattachment Device (GTRD) for Comminuted Intertrochanteric Femur Fracture in Elderly Patients

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