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 92
- Downloads 0
Thoracoscopic discectomy for herniated thoracic discs
Objectives: Thoracoscopic discectomy is a relatively new and technically demanding minimally invasive procedure. In this study, we presented our clinical experience with thoracoscopic discectomy. Patients and methods: T...
Minimally invasive arthroplasty
Interest in minimally invasive arthroplasty of the hip and knee joints has increased recently. Application of this technique via a smaller incision or multiple smaller incisions, and some advantages such as less pain, qu...
Minimal invaziv artroplasti
Son yıllarda, kalça ve diz eklemlerinde minimal invaziv artroplasti uygulamalarına ilgi artmıştır. Küçük kesi veya kesilerin kullanılması, hastaların daha az ağrı duyması, daha kısa zamanda iyileşme ve hastanede daha kıs...
Isolated tuberculosis of the greater trochanter: a case report
Isolated tuberculosis of the greater trochanter is an extremely rare entity. A 67-year-old man presented with a two-month history of drainage from his left hip, about 4 cm below the trochanteric region. He reported a his...
Aşil tendonitinde hylan G-F 20’nin erken ve geç dönem etkilerinin karşılaştırılması: Deneysel çalışma
Amaç: Aşil tendon patolojilerinin tedavisi halen tartışmalıdır. Bu çalışmada, sıçanlarda deneysel olarak oluşturulmuş Aşil tendonitinde lokal intratendinöz hylan G-F 20 enjeksiyonlarının erken ve geç dönem etkileri araşt...