Treatment of Unstable Trochanteric Fracture Using Sliding Hip Screw with Wiring of Lesser Trochanter / 대한정형외과학회잡지
The Journal of the Korean Orthopaedic Association
;
: 861-866, 2000.
Article
in Korean
| WPRIM
| ID: wpr-655820
ABSTRACT
PURPOSE:
To evaluate the effect of the sliding hip screw with wiring of lesser trochanter for the treatment of unstable trochanteric fractures. MATERIALS ANDMETHODS:
we analysed retrospectively 39 cases between 1995 and 1999. All cases were followed up for more than 1 year. Using modified Watson-Jonson approach, we performed reduction of the fracture as anatomically possible extent.RESULTS:
Bony union was obtained in average 6 months. Nonunion with metal failure occurred in one case. The average sliding of lag screw was 11mm. The average change of neck-shaft angle (NSA) was 1.8degrees respectively. Satisfactory NSA was achieved in 33 cases except 2 cases of varus and 4 cases of valgus both exceeding 10degrees.CONCLUSION:
The sliding hip screw with wiring of lesser trochanter is a useful option for unstable trochanteric fractures because of its initial stability as buttress effect on posteromedial cortex to allow early ambulation.
Full text:
Available
Index:
WPRIM (Western Pacific)
Main subject:
Retrospective Studies
/
Early Ambulation
/
Femur
/
Hip
/
Hip Fractures
Type of study:
Observational study
Language:
Korean
Journal:
The Journal of the Korean Orthopaedic Association
Year:
2000
Type:
Article
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