A different treatment modality for trochanteric fractures of the femur in surgical high-risk patients: a clinical study of 44 patients with 21-month follow-up.
作者信息
Ozdemir Hakan, Dabak T Kürşat, Urgüden Mustafa, Gür Semih
机构信息
Department of Orthopaedics and Traumatology, Medical School of Akdeniz University, 07070, Antalya, Turkey.
出版信息
Arch Orthop Trauma Surg. 2003 Dec;123(10):538-43. doi: 10.1007/s00402-003-0578-9. Epub 2003 Aug 26.
INTRODUCTION
To assess the effectiveness of a modular axial fixator as an alternative method in surgically high-risk patients with trochanteric fractures of the femur.
MATERIALS AND METHODS
In a prospective, uncontrolled clinical study, 44 high-risk patients (ASA grade 3 or 4) with trochanteric femoral fractures were treated by a modular axial fixator. They were prospectively followed up for 21 months (range 14-30 months) and evaluated using Foster's criteria.
RESULTS
All of the fractures healed, and mean time to union was 10.9 weeks. Three types of complications were noticed. These were infections, varus alignment and shortening. Results were anatomically excellent in 35 patients, good in 9, and functionally excellent in 36, good in 8.
CONCLUSION
The modular axial fixator is a reliable alternative for treating frail patients with trochanteric fractures of the femur.
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