A study of the role of osteotomy in unstable intertrochanteric fractures.
J Postgrad Med
;
1996 Jan-Mar; 42(1): 4-6
Article
in English
| IMSEAR
| ID: sea-116830
ABSTRACT
Osteotomy has been used in treatment of unstable intertrochanteric hip fractures in an attempt to increase the stability of the fracture fragments. We have assessed this stability in a randomised prospective study on 138 patients, all having been fixed by dynamic hip screen, comparing anatomical reduction with medialisation osteotomy. The groups were similar in terms of age, gender and fracture configuration. There was no difference in final results in both groups except that operation time was longer in osteotomy group and the blood loss was more. We found no clear benefit from osteotomy and therefore recommend anatomical reduction and fixation by a sliding hip screw in most cases. Rarely, a fracture configuration which does not allow anatomical reduction may benefit from an osteotomy.
Full text:
Available
Index:
IMSEAR (South-East Asia)
Main subject:
Osteotomy
/
Time Factors
/
Bone Screws
/
Aged, 80 and over
/
Aged
/
Female
/
Humans
/
Male
/
Prospective Studies
/
Blood Loss, Surgical
Type of study:
Controlled clinical trial
/
Observational study
Limits:
Aged80
Language:
English
Journal:
J Postgrad Med
Year:
1996
Type:
Article
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