Treatment using Reduction of Lateral and Posterior Displacement in Unstable Intertrochanteric Fractures of the Elderly

ABSTRACT

PURPOSE: To evaluate the advantages of reduction of lateral and posterior displacement in unstable intertrochanteric fractures of the elderly. MATERIALS AND METHODS: From January, 1997 to December, 2001, we reviewed 23 cases of unstable intertrochanteric fractures in the elderly, which underwent by reduction of lateral and posterior displacement. Using the device of internal fixation is dynamic compression hip screw (DHS), the follow up period was minimally 12 months (mean 16 months). We estimated the clinical results, the radiologic results and complications. RESULTS: The satisfactory results was regarded as walking with walking frame and 21 cases (91.3%) showed satisfactory results. The average period of radiologic union was 18 weeks. The average sliding of lag screw was 5.3 mm and the average changes of femoral neck-shaft angle was 2.6 degree. As for the complications, 2 cases showed superficial infection and 2 cases showed pain over trochanteric area. CONCLUSION: In the unstable intertrochanteric fractures of the elderly, treatment with reduction of lateral and posterior displacement can be considered one of reduction technique.