A study of the role of osteotomy in unstable intertrochanteric fractures.
J Postgrad Med
;
1996 Jan-Mar; 42(1): 4-6
Artigo
em Inglês
| 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.
Texto completo:
DisponíveL
Índice:
IMSEAR (Sudeste Asiático)
Assunto principal:
Osteotomia
/
Fatores de Tempo
/
Parafusos Ósseos
/
Idoso de 80 Anos ou mais
/
Idoso
/
Feminino
/
Humanos
/
Masculino
/
Estudos Prospectivos
/
Perda Sanguínea Cirúrgica
Tipo de estudo:
Ensaio Clínico Controlado
/
Estudo observacional
Limite:
Aged80
Idioma:
Inglês
Revista:
J Postgrad Med
Ano de publicação:
1996
Tipo de documento:
Artigo
Similares
MEDLINE
...
LILACS
LIS