Journal of orthopaedic trauma · 2000
Percutaneous compression plating of intertrochanteric hip fractures.
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Gotfried Y
Аннотация
OBJECTIVE: To present the principles of a surgical technique for percutaneous compression plating of intertrochanteric hip fractures and to report the clinical results of treatment using this method.
DESIGN: Retrospective.
SETTING: University hospital.
PATIENTS: Ninety-eight intertrochanteric hip fractures in ninety-seven patients with a minimum follow-up of twelve months.
MAIN OUTCOME MEASURES: Radiographic and clinical evidence of functional outcome and complications including fracture collapse and implant failure.
RESULTS: Mean perioperative blood loss was 92.4 milliliters (range 14 to 245 milliliters), and the mean postoperative hospital stay was 8.7 days (range 4 to 20 days). Complications included two minor wound hematomas and one soft tissue infection. Radiographically, one fracture with a varus deformity of 8 degrees and two fractures had minor screw pullout that did not affect the final results. No collapses, screw cutouts, or head penetrations were seen. Three patients required reoperation: one for avascular necrosis after a fracture at the base of the neck and two, after fracture healing, for trochanteric bursitis requiring plate removal. All surviving patients (80 of 98; 82 percent) had uneventful fracture healing with union achieved by six months in all patients.
CONCLUSIONS: Use of the percutaneous compression plating for intertrochanteric hip fractures resulted in reduced complications, event-free fracture healing, and improved rehabilitation.
DESIGN: Retrospective.
SETTING: University hospital.
PATIENTS: Ninety-eight intertrochanteric hip fractures in ninety-seven patients with a minimum follow-up of twelve months.
MAIN OUTCOME MEASURES: Radiographic and clinical evidence of functional outcome and complications including fracture collapse and implant failure.
RESULTS: Mean perioperative blood loss was 92.4 milliliters (range 14 to 245 milliliters), and the mean postoperative hospital stay was 8.7 days (range 4 to 20 days). Complications included two minor wound hematomas and one soft tissue infection. Radiographically, one fracture with a varus deformity of 8 degrees and two fractures had minor screw pullout that did not affect the final results. No collapses, screw cutouts, or head penetrations were seen. Three patients required reoperation: one for avascular necrosis after a fracture at the base of the neck and two, after fracture healing, for trochanteric bursitis requiring plate removal. All surviving patients (80 of 98; 82 percent) had uneventful fracture healing with union achieved by six months in all patients.
CONCLUSIONS: Use of the percutaneous compression plating for intertrochanteric hip fractures resulted in reduced complications, event-free fracture healing, and improved rehabilitation.