Two-hole side-plate DHS in the treatment of intertrochanteric fracture: Results and complications

被引:127
作者
Laohapoonrungsee, A [1 ]
Arpornchayanon, O [1 ]
Phornputkul, C [1 ]
机构
[1] Chiang Mai Univ, Fac Med, Dept Orthopaed, Chiang Mai 50200, Thailand
来源
INJURY-INTERNATIONAL JOURNAL OF THE CARE OF THE INJURED | 2005年 / 36卷 / 11期
关键词
intertrochanteric fracture; two-hole side-plate; DHS;
D O I
10.1016/j.injury.2005.04.014
中图分类号
R4 [临床医学];
学科分类号
1002 [临床医学]; 100602 [中西医结合临床];
摘要
We reviewed 83 intertrochanteric fractures fixed with a 135 degree dynamic hip screw (DHS) and two-hole side-plate. The mean age was 72 years. There were 13 A1.1, 24 A1.2, 16 A2.1, 29 A2.2 and 1 A2.3 fractures. Established osteoporosis was seen in 55 patients. The mean time to union was 14.5 weeks. Sixty-eight percent had minimal collapse, 24% moderate and 8% severe. Over 80% of moderate and severe collapses were associated with osteoporosis and an unstable fracture pattern. There were four failures: two from lag screw cut-out and two from putt-out of the side-plate. (c) 2005 Elsevier Ltd. All rights reserved.
引用
收藏
页码:1355 / 1360
页数:6
相关论文
共 40 条
[1]
[Anonymous], CLIN ORTHOP
[2]
DEEP-VEIN THROMBOSIS AFTER HIP-SURGERY AMONG THAI [J].
ATICHARTAKARN, V ;
PATHEPCHOTIWONG, K ;
KEOROCHANA, S ;
EURVILAICHIT, C .
ARCHIVES OF INTERNAL MEDICINE, 1988, 148 (06) :1349-1353
[3]
Bendo J A, 1994, Orthop Rev, VSuppl, P30
[4]
Results of intertrochanteric femur fractures treated with a 135-degree sliding screw with a two-hole side plate [J].
Bolhofner, BR ;
Russo, PR ;
Carmen, B .
JOURNAL OF ORTHOPAEDIC TRAUMA, 1999, 13 (01) :5-8
[5]
CHENG KK, 1987, AM J SURG, V11, P174
[6]
CHRISTODOULOU NA, 2000, CLIN ORTHOP RELAT R, V381, P204
[7]
CHUMNIJARAKIJ T, 1975, LANCET, V1, P1357
[8]
CLAWSON D K, 1964, J Trauma, V4, P737, DOI 10.1097/00005373-196411000-00001
[9]
INTERTROCHANTERIC FEMORAL FRACTURES - MECHANICAL FAILURE AFTER INTERNAL-FIXATION [J].
DAVIS, TRC ;
SHER, JL ;
HORSMAN, A ;
SIMPSON, M ;
PORTER, BB ;
CHECKETTS, RG .
JOURNAL OF BONE AND JOINT SURGERY-BRITISH VOLUME, 1990, 72 (01) :26-31
[10]
DEAN GL, 2004, J BONE JOINT SURG AM, V86, P398