Article Sidebar
Views pdf: 58
OUTCOME FOLLOWING TREATMENT OF STABLE INTERTROCHANTERIC FRACTURES IN ELDERLY WITH LOCKING PLATE
Main Article Content
Abstract
Objective: To evaluate the results of treatment of closed intertrochanteric femoral fractures (IFC) type A1 according to AO classification in the elderly by bone fixation (KB) with locking plate. Method: Including 52 patients (P) with closed intertrochanteric femoral fractures type A1 according to AO classification, treated with locked plate surgery at Military Hospital 103. Prospective and retrospective study, cross-sectional description without control group. Results: Type A1.3 fracture 36/52 patients (69.20%), type A1.2 fracture 16/52 patients (30.80%). There were no early postoperative complications. Good reduction results: 96.16%, acceptable: 3.84%. At 12 months after surgery: bone union, neck-shaft angle 120º -130º: 95.12%, bone union, neck-shaft angle <120º: 4.88%. Rehabilitation results according to Harris scale: Excellent: 27/41 patients (65.85%), good: 8/41 patients (19.51%), average: 5/41 patients (12.20%), poor: 1/41 patients (2.44%). Conclusion: Locking plate fixation is a good choice for elderly patients with stable intertrochanteric femoral fractures.
Article Details
Keywords
intertrochanteric, locking plate, elderly
References
2. Ngô Quốc Hoàn, Mỵ Duy Tiến, Nguyễn Quốc Thọ (2022), Đánh giá kết quả ban đầu điều trị gãy kín đầu dưới xương đùi bằng phẫu thuật kết xương nẹp khóa. Tạp chí Y Dược Thực hành 175, 10-10.
3. Sommer, Christoph (2006), Biomechanics and clinical application principles of locking plates. Suomen Ortopedia ja Traumatologia, 20-24.
4. Baumgaertner M.R. (1995), The value of the tip-apex distance in predicting failure of fixation of peritrochanteric fractures of the hip. JBJS, 1058-1064.
5. Lê Quang Trí (2019), Đánh giá kết quả điều trị phẫu thuật gãy kín liên mấu chuyển và dưới liên mấu chuyển xương đùi bằng nẹp vít khóa tại bệnh viện quân y 175. Tạp chí Y Dược Thực hành 175: p. 10-10.
6. Zha G.C. (2011), Treatment of pertrochanteric fractures with a proximal femur locking compression plate. Injury, 1294-1299.
7. Lee W.T. (2014), Proximal femoral locking compression plate for proximal femoral fractures. Journal of orthopaedic surgery, 287-293.
8. Sun-jun H. (2012), Treatment of femoral subtrochanteric ractures with proximal lateral femur locking plates. Acta Ortop Bras, 329–333
9. Wirtz C. (2013) ,High failure rate of trochanteric fracture osteosynthesis with proximal femoral locking compression plate. Injury, 751-756.
10. Lê Tất Thắng (2022), Nghiên cứu đặc điểm tổn thương, kết quả điều trị gãy kín vùng mấu chuyển xương đùi bằng kết hợp xương nẹp khoá. Luận án tiến sĩ y học.