Morphology and Fixation Pitfalls of a Highly Unstable Intertrochanteric Fracture Variant

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Morphology and fixation pitfalls of a highly unstable intertrochanteric fracture variant.

PURPOSE To describe a variant of intertrochanteric fracture not well-characterised in the existing classification systems. METHODS 10 women and 2 men aged 59 to 98 (median, 80) years with intertrochanteric fractures characterised by a low intertrochanteric fracture, a basicervical fracture fragment, and a thin or fractured lateral wall with greater trochanteric comminution were reviewed. RE...

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Commentary: Morphology and fixation pitfalls of a highly unstable intertrochanteric fracture variant.

fractures with an intact posteromedial buttress, have been successfully treated with a sliding hip screw or blade.1 However, unstable intertrochanteric fractures tend to collapse even after adequate reduction and fixation with plating, and thus intramedullary nailing is recommended.2 Unstable intertrochanteric fractures include fractures with posteromedial comminution, a reverse oblique configu...

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Clinical Outcomes of Intramedullary and Extramedullary Fixation in Unstable Intertrochanteric Fractures: A Randomized Clinical Trial

Background: The best method for repairing intertrochanteric fractures is still controversial. The fixation methods includeextramedullary (EM) and intramedullary (IM). Studies that compare IM and EM fixations for unstable hip fractures arerare. In this study, our goal was to compare the efficacy of EM and IM fixation in treatment of unstable intertrochantericfractures.Met...

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Fixation of Trochanteric Fragments in Cementless Bipolar Hemiarthroplasty of Unstable Intertrochanteric Fracture: Cerclage Wiring

Purpose Bipolar hemiarthroplasty (HA) is an option for the treatment of unstable intertrochanteric fracture in elderly patients. There is a raising concern regarding cable-grip related complications for the fixation of trochanteric fragments. Therefore, the aim of this study was to evaluate outcome of cementless HA with fixation for the trochanteric fragments using monofilament wires in unstabl...

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Comparison of Intertrochanteric Fracture Fixation with Dynamic Hip Screw and Bipolar Hemiarthroplasty Techniques

Background: At present, there is no consensus on an appropriate treatment modality for intertrochanteric fractures in the elderly with background diseases. The aim of the present study was to compare treatment outcomes of intertrochanteric fractures reduced with dynamic hip screws (DHS) and bipolar hemiarthroplasty in elderly patients with background medical conditions. Methods: In this randomi...

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ژورنال

عنوان ژورنال: Journal of Orthopaedic Surgery

سال: 2015

ISSN: 2309-4990,2309-4990

DOI: 10.1177/230949901502300204