Vergleich der Komplikationsraten in der Behandlung von subtrochantären Femurfrakturen zwischen DCS® und PFN®
| Autor: | I. Schmidt, C. Grüber, H. P. Langen, J. Schmidt, J. Kühling |
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| Rok vydání: | 2006 |
| Předmět: | |
| Zdroj: | Aktuelle Traumatologie. 36:122-127 |
| ISSN: | 1438-9436 0044-6173 |
| DOI: | 10.1055/s-2006-924390 |
| Popis: | The treatment of subtrochanteric femur fractures is still a challenge in osteosynthesis especially due to the high multipathia of these patients. Intramedullary and extramedullary implants are available for operative treatment. Over the recent years an increasing use of intramedullary implants, especially of "long implants", became apparent for these type of fractures. In this case an open reduction with the additional use of cerclage wires is crucial. 23 patients with intramedullary stabilisation of subtrochanteric fractures have been analysed retrospectively. This patient collective has been compared in reference to complications to a historical study (2003) on a collective that had been treated with extramedullary implants (DCS®). 2/23 patients showed complications related to the operative treatment, but only one patient showed postoperative complications due to the implant. The possibility and the advantage of postoperative full weight bearing has been decisive. Using an optimal implant with a sufficient reduction, long implants are recommended for an adequate supply of subtrochanteric femur fractures, especially taking into account the patients multipathia and regarding the possibility of early postoperative full weight bearing. If a surgeon has the same excellence in intramedullary and extramedullary osteosynthesis the use of an intramedullary implant with an accordant indication results in a better outcome. |
| Databáze: | OpenAIRE |
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