Evaluation of treatment results with the 95-degree AO/ASIF angular plate in subtrochanteric femur fractures
Journal Title: Eklem Hastaliklari ve Cerrahisi - Year 2005, Vol 16, Issue 1
Abstract
Objectives: The aim of this study was to evaluate the results of patients treated with the 95-degree AO/ASIF angular plate for subtrochanteric femur fractures. Patients and methods: Twenty-nine patients (20 males, 9 females; mean age 39 years; range 11 to 77 years) were treated with a 95° angular plate for subtrochanteric femur fractures. The fractures were on the left in 21 patients and 22 fractures (75.9%) were caused by high-energy trauma. Ten patients had coexistent fractures and/or systemic injuries. According to the Seinsheimer criteria, 11 (37.9%) were type II, 15 (51.7%) were type III, and three (10.3%) were type V fractures. The mean time to surgery following admission was eight days (range 1 to 26 days). Clinical and radiographic results were assessed according to the Foster’s criteria. The mean follow-up period was 23.4 months (range 7 to 48 months). Results: Radiographically, union was detected in 25 patients in a mean of 7.7 months (range 5.5 to 11 months). Two fractures (Seinsheimer type IIA and type IIIA) united following grafting, whereas one type V fracture did not unite. Other adverse events included superficial wound infection (n=1), malunion (n=4), and limb length discrepancy (n=4). According to the Foster’s criteria, the results were excellent in 19 (65.2%), good in four (13.8%), moderate in two (6.9%), and poor in four (13.8%) patients. Conclusion: Although the second-generation implants are recommended today for surgical treatment of subtrochanteric femur fractures, the use of 95° angular plates may also be considered as an alternative due to ease in availability and application, obviating the need for a fracture table, an image intensifier, and enhanced experience.
Authors and Affiliations
Erhan Yilmaz, Lokman Karakurt, Hikmet Guzel
Keywords
Related Articles
- EP ID EP159869
- DOI -
- Views 88
- Downloads 0
Menopoz sonrası erken ve geç dönemde osteoporoz değerlendirmesi: Kemik mineral yoğunluğu ile kemik döngüsü belirteçleri arasındaki ilişki
Amaç: Bu çalışmada menopoz sonrası erken ve geç dönemde kemik mineral yoğunluğu (KMY) ile kemik döngüsünü gösteren biyokimyasal belirteçler arasındaki ilişki araştırıldı. Olgular ve yöntemler: Çalışmaya, kemik metaboliz...
Ranges of scapular elevation and depression in healthy male subjects
Objectives: Although most of the movements of the joints have been measured in several studies, data on scapular elevation and depression are very few. The aim of this study was to describe the amplitudes of active range...
Subungual osteochondroma: a case report
Subungual osteokondrom sıklıkla ayak birinci parmak distal falanksta görülen benign osteokondral bir tümördür. Subungual osteokondromu önemli kılan, birçok olguda başlangıçta yanlış tanı konmasıdır. On sekiz yaşında kadı...
Tekrarlayan sempatik blokların kemik büyümesi üzerine etkisi
Amaç: Çocuklardaki uzun kemik kırıklarından sonra aynı ekstremitede normal tarafa oranla uzama bilinen bir komplikasyondur. Bunun, kırık kaynaması sırasında artan kan akımının büyüme kıkırdağı üzerindeki etkisinden kayna...
Omzun tekrarlayıcı anterior instabilitesinin tedavisinde Bankart tamiri ve kapsül plikasyonunun sonuçları
Amaç: Tekrarlayıcı omuz çıkığı nedeniyle Bankart tamiri ve kapsül plikasyonu-kaydırma tekniğiyle tedavi edilen olguların sonuçları değerlendirildi. Hastalar ve yöntemler: Çalışmaya tekrarlayıcı anterior omuz instabilite...