Blade Plate Fixation for Failed Internal Fixation of Intertrochanteric Hip fractures.
10.5371/jkhs.2006.18.4.182
- Author:
Jae Suk CHANG
;
Hyoung Keun OH
- Publication Type:Original Article
- Keywords:
Intertrochanteric hip fracture;
Nonunion;
Failed internal fixation;
Blade plate
- MeSH:
Bone Transplantation;
Follow-Up Studies;
Hemiarthroplasty;
Hip Fractures*;
Hip*;
Humans;
Transplants;
Walking
- From:Journal of the Korean Hip Society
2006;18(4):182-188
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
Purpose: To evaluate the results of blade plate fixation and bone grafting for the treatment of failed intertrochanteric hip fractures. Materials and Methods: Eight patients were treated with 95° blade plate fixation and bone grafts were performed in 7 patients. The mean age of the patients was 73 years old and the mean follow-up period was 26 months (range, 6 to 65 months). Clinical and radiological results were evaluated based on pain, walking ability, union period, and maintenance of reduction. Results: 6 of 8 patients obtained a solid union after a median period of 20 weeks. The neck-shaft angle was changed from 118° to 133° postoperatively. One patient underwent revision of a bipolar hemiarthroplasty due to failed blade plate fixation and varus malunion occurred in one patient Conclusion: Blade plate fixation and bone grafting for failed internal fixation of intertrochanteric hip fractures can provide a solid union and a good clinical result.
