BACKGROUND A prospective clinical trial was conducted to evaluate the conjunctive use of an extramedullary device and the bridge-plating technique in the treatment of comminuted subtrochanteric fractures with major extension into the femoral shaft. METHODS A Winquist criteria was used to classify 3 fracture patterns. The type 3 fractures were excluded from this study because of great extent o...

Intertrochanteric fractures are common injuries around the hip, especially among elderly. With rising incidence of these injuries, they expected to double by 2050. Incidence rates higher in females than males and white patients black African patients. Osteoporosis weakens local trochanteric anatomic support leading an increased susceptibility fractures. Disruption posteromedial calcar region re...

Numerous internal fixation devices have been used to stabilize intertrochanteric fracturesWe have analyzed the results of the intertrochanteric fractures treated with dynamic hip screw fixation. 33 patients (13 males, 20 females) were included. Range of age was 50-90 years, right side involved in 21 cases whereas left side in 12 cases and classified according to Boyd and griffin classification ...

Interactive virtual reality systems provide safe and costeffective training environment to improve the technical skills and competence of surgeons. The trainees can have as many practice sessions, without need to the trainer all the time, before even start carrying out the procedure on any real patient. In this paper, we present an affordable interactive virtual reality system for the Dynamic H...

Objective: The aim of this study was two fold. To determine the diagnostic reference level (D.R.L.) dose of radiation during dynamic hip screw (D.H.S.) fixation and, to audit the orthopaedic department against this standard. Methods and Materials: A retrospective analysis of 112 consecutive patients between 31st December 2002 and the 6th July 2003, at Darenth Valley Hospital, Dartford, under go...

OBJECTIVES To establish a laboratory model of implant cutout, which can evaluate the effect of implant design on cutout resistance in a clinically realistic "worst case" scenario. SETTING Orthopaedic biomechanics laboratory. DESIGN Implant cutout was simulated in an unstable pertrochanteric fracture model, which accounted for dynamic loading, osteoporotic bone, and a defined implant offset....

OBJECTIVE To compare minimally invasive dynamic hip screw (MIDHS) fixation with conventional dynamic hip screw (CDHS) fixation for treatment of intertrochanteric femoral fracture. METHODS Of the 66 participants in this double-blind study, 35 were randomised to MIDHS and 31 to CDHS fixation. Main outcome measurements were wound size, haemoglobin decrease, blood transfusion rate, pain score, an...