The study was conducted on 55
patients (39
males and 16
females) with 56 trochanteric
hip fractures related to surgical
treatment trauma. These
patients were treated by internal
bone fixation using angle
splint in Orthopedic Department of Viet- Duc
Hospital from 1/2000 - 12/2001. Good and very good outcomes were reached in 82% of
patients, 14% of
patients had moderate and 4% had poor outcomes. Mass angle
splints were used for
intertrochanteric fractures Unstable
intertrochanteric fractures, trochanteric fracture with
femoral neck fracture line,
intertrochanteric fractures with
multiple fractures in 1/3 above and 1/3 below of ipsilateral femoral
bone.
Intertrochanteric fractures occurred in any
patient with quick
movement prior event. Inter- and inferior
trochanteric fractures occurred with two points. DHS is applied with most
efficiency. Internal
bone fixation using angle
splint for
intertrochanteric fractures was the most effective
method. There were no complication in terms of vascular obstruction related to fat and
heart failure. Setting a
broken bone wass carried out in surgical position and fixed by angle
splints.
Separated pieces in backside and inside can be rearranged under the
surgery and fixed by soft screws.
Rehabilitation and follow-up exammination was needed after
surgery.