Treatment of Failed Internal Fixation of Intertrochanteric Fractures of Femur.
10.12671/jkfs.2005.18.2.120
- Author:
Hyung Gyu KIM
1
;
Byeong Mun PARK
;
Kyeong Seop SONG
;
Chang Hun SUNG
;
Jong Min KIM
;
Jae Hyung CHO
;
Nam Heun KIM
Author Information
1. Department of Orthopedic Surgery, Kwang Myung Sung-ae General Hospital, Seoul, Korea. SKSUB@Hotmail.com
- Publication Type:Original Article
- Keywords:
Femur intertrochanteric fracture;
Arthroplasty;
95degrees angled blade plate
- MeSH:
Allografts;
Arthroplasty;
Arthroplasty, Replacement, Hip;
Canes;
Femur*;
Hemiarthroplasty;
Hip;
Hip Fractures*;
Humans;
Walkers;
Walking
- From:Journal of the Korean Fracture Society
2005;18(2):120-125
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
PURPOSE: To compare the result of failed internal fixation of intertrochanteric fractures treated with arthroplasty and 95degrees angled blade plate. MATERIALS AND METHODS: From June 2000 to may 2003, there were 12 cases with failed internal fixation of intertrochanteric fractures among 185 cases treated with dynamic hip screw and followed up for more than 1 year. The 4 cases were treated with bipolar hemiarthroplasty, 1 case with total hip arthroplasty, and other 7 cases were treated with 95degrees angled blade plate with allograft, evaluated clinically the operation times, blood loss, walking ability and complication. RESULTS: In the 7 cases, which treated with 95degrees angled blade plate, the average operation time was 109 minutes, the average blood loss was 431 ml. The result of keeping abreast of 1 year, no aid ambulation was 4 cases, the cane ambulation was 2 cases, the walker ambulation was 1 case, and there was no pain in 3 cases, mild pain in 4 cases, and no moderate pain. In the 5 cases, which treated with arthroplasty, the average operation time was 157 minutes, the average blood loss was 618 ml. During 1 year, no aid ambulation was 3 cases, the cane ambulation was 1 case, the walker ambulation was 1 case, and no pain in 2 cases, mild pain in 1 case, moderate pain in 1 case. CONCLUSION: Both 95degrees angled blade plate and arthroplasty can be useful for failed internal fixation of intertrochanteric fractures, and the choice of implant must be determined with caution, considering the surgical conditions of patient, as well as benefits of each devices
