Y Gotfried1. 1. Department of Orthopaedic Surgery, Bnai Zion Medical Center, Haifa, Israel.
Abstract
OBJECTIVE: To present the principles of a surgical technique for percutaneous compression plating of intertrochanteric hip fractures and to report the clinical results of treatment using this method. DESIGN: Retrospective. SETTING: University hospital. PATIENTS: Ninety-eight intertrochanteric hip fractures in ninety-seven patients with a minimum follow-up of twelve months. MAIN OUTCOME MEASURES: Radiographic and clinical evidence of functional outcome and complications including fracture collapse and implant failure. RESULTS: Mean perioperative blood loss was 92.4 milliliters (range 14 to 245 milliliters), and the mean postoperative hospital stay was 8.7 days (range 4 to 20 days). Complications included two minor wound hematomas and one soft tissue infection. Radiographically, one fracture with a varus deformity of 8 degrees and two fractures had minor screw pullout that did not affect the final results. No collapses, screw cutouts, or head penetrations were seen. Three patients required reoperation: one for avascular necrosis after a fracture at the base of the neck and two, after fracture healing, for trochanteric bursitis requiring plate removal. All surviving patients (80 of 98; 82 percent) had uneventful fracture healing with union achieved by six months in all patients. CONCLUSIONS: Use of the percutaneous compression plating for intertrochanteric hip fractures resulted in reduced complications, event-free fracture healing, and improved rehabilitation.
OBJECTIVE: To present the principles of a surgical technique for percutaneous compression plating of intertrochanteric hip fractures and to report the clinical results of treatment using this method. DESIGN: Retrospective. SETTING: University hospital. PATIENTS: Ninety-eight intertrochanteric hip fractures in ninety-seven patients with a minimum follow-up of twelve months. MAIN OUTCOME MEASURES: Radiographic and clinical evidence of functional outcome and complications including fracture collapse and implant failure. RESULTS: Mean perioperative blood loss was 92.4 milliliters (range 14 to 245 milliliters), and the mean postoperative hospital stay was 8.7 days (range 4 to 20 days). Complications included two minor wound hematomas and one soft tissue infection. Radiographically, one fracture with a varus deformity of 8 degrees and two fractures had minor screw pullout that did not affect the final results. No collapses, screw cutouts, or head penetrations were seen. Three patients required reoperation: one for avascular necrosis after a fracture at the base of the neck and two, after fracture healing, for trochanteric bursitis requiring plate removal. All surviving patients (80 of 98; 82 percent) had uneventful fracture healing with union achieved by six months in all patients. CONCLUSIONS: Use of the percutaneous compression plating for intertrochanteric hip fractures resulted in reduced complications, event-free fracture healing, and improved rehabilitation.
Authors: Matthias Knobe; Wolf Drescher; Nicole Heussen; Richard Martin Sellei; Hans-Christoph Pape Journal: Clin Orthop Relat Res Date: 2012-02-07 Impact factor: 4.176
Authors: E Crespo; S Gómez; V Palacios; J Galvez; J M Tenías; I Cano; R Peñuela; A Arcas; R Crespo Journal: Eur J Orthop Surg Traumatol Date: 2016-06-28
Authors: Matthias Knobe; Gertraud Gradl; Andreas Ladenburger; Ivan S Tarkin; Hans-Christoph Pape Journal: Clin Orthop Relat Res Date: 2013-09 Impact factor: 4.176