Comminuted intertrochanteric fractures: Should the lesser trochanteric fragment be fixated?
- VernacularTitle:股骨转子间粉碎骨折:小转子必须固定吗?
- Author:
Yazi WANG
;
Lei WANG
;
Haisheng ZHANG
;
Chenzhao LU
;
- Publication Type:Journal Article
- Keywords:
Fracture;
Intertrochanteric fractures;
Lesser trochanter;
Dynamic hip screw(DHS)
- From:
Chinese Journal of Orthopaedic Trauma
2004;0(09):-
- CountryChina
- Language:Chinese
-
Abstract:
Objective Unstable intertrochanteric hip fractures are characterized by comminution of the posteromedial cortex and a fragment of variable size containing the lesser trochanter. This paper is to discuss whether it is necessary to perform reduction and fixation for this fragment. Methods 67 cases of intertrochanteric fractures were treated by dynamic hip screw (DHS) fixation between March 2001 and September 2002 and followed up for a minimum of 1 year. Their treatment results were retrospectively analyzed. Results No nonunion, coxa vara or failure of internal fixation occurred in all these patients. Conclusion If DHS provides stability, screw fixation of the lesser trochanteric fragment is unnecessary.
