Curved intertrochanteric varus osteotomy is osteotomized between the lesser trochanter and the greater trochanter which is curved so as to place the femoral head in a varus position by rotating it in the coronal plane. After mean follow-up of 5.4 years of 57 joints, approximately 98% of joints were preserved and 90% of joints were protected from the progression of disease. Curved intertrochanteric varus osteotomy can be used to preserve the hip joint in patients with osteonecrosis of the femoral head.
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Introduction: Among the most prevalent injuries among the elderly with trivial trauma are trochanteric fractures. Osteoporosis and female sex are additional risk factors. The patient's age, the fracture, their overall health, the amount of time between the fracture and treatment, the effectiveness of the treatment, any concurrent medical care, and the stability of the fixation all affect how well the patient responds to treatment.
View Article and Find Full Text PDFRisk Factors for Early Implant Failure in Geriatric Intertrochanteric Fractures Treated with Twin Interlocking Derotation and Compression Screw Cephalomedullary Nail (InterTAN).
Acta Chir Orthop Traumatol Cech
November 2024
Department of Orthopaedics and Traumatology, Istanbul University Istanbul Faculty of Medicine, Istanbul, Turkey.
Purpose Of The Study: Intertrochanteric hip fractures in elderly patients are a significant cause of morbidity and mortality, with increasing incidence due to the aging population. Despite advancements in intramedullary nailing (IMN) technology, fixation failure remains a concern. This study aims to evaluate pre-and postoperative radiographic risk factors for varus collapse in geriatric intertrochanteric fractures treated with twin interlocking derotation and compression screw cephalomedullary nail (InterTAN, Smith & Nephew).
View Article and Find Full Text PDFFive states of reduction in OTA/AO A1.3 intertrochanteric fractures of the femur a biomechanical study.
BMC Musculoskelet Disord
October 2024
Department of Pathology, Jining No. 1 People's Hospital, Jining City, Shandong Province, 272011, China.
Article Synopsis
- - This study investigates how different reduction conditions affect the mechanical stability of OTA/AO 31A1.3 intertrochanteric fractures using artificial femur models.
- - Twenty models were tested under five reduction states (positive support, neutral support, negative support, varus fixation, and valgus fixation), revealing significant differences in subsidence displacement and axial stiffness among these groups.
- - The findings indicate that positive support offers the best mechanical stability for these fractures, suggesting it should be the preferred surgical approach, while varus fixation should be avoided for better stability outcomes.
Results of Subtrochanteric Femoral Fractures Fixation by Proximal Femoral Locking Compression Plate.
Mymensingh Med J
October 2024
Dr Md Sonaullah, Assistant Professor, Department of Orthopedics and Traumatology, Mymensingh Medical College (MMC), Mymensingh, Bangladesh; E-mail:
Article Synopsis
- * Extramedullary implants have a higher failure rate, while recent studies show that the proximal femoral locking compression plate (PF-LCP) offers better outcomes in terms of healing and fewer complications.
- * A study conducted at Mymensingh Medical College Hospital assessed 25 patients with closed subtrochanteric fractures, analyzing healing through radiographic evaluations and showing promising results for PF-LCP in promoting fracture union.
Comparative analysis of radiological outcomes among cephalomedullary nails: helical, screw and winged screw.
PeerJ
September 2024
Department of Orthopaedics and Traumatology, Ege University, Izmir, Turkey.
Objective: Cephalomedullary nails (CMN) are implants with a high success rate in the surgical treatment of trochanteric fractures. The aim of this study is to compare the radiological outcomes and mechanical complications of femoral trochanteric fractures treated with three different CMNs.
Methods: Intertrochanteric fractures in patients aged 50 years and older treated with CMN between January 2016 and December 2021 were reviewed retrospectively.
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