Biaxial dynamization in unstable intertrochanteric fractures Good experience with a simplified Medoff sliding plate in 94 patients
| Autor: | Anders Hauggaard, Ola Olsson, Karl Lunsjö, Leif Ceder |
|---|---|
| Rok vydání: | 1997 |
| Předmět: |
Adult
Male medicine.medical_specialty Dynamization medicine.disease_cause Weight-bearing Fracture Fixation Internal Fixation (surgical) medicine Humans Orthopedics and Sports Medicine Femur Prospective Studies Aged Aged 80 and over Fracture Healing Orthodontics Osteosynthesis Hip Fractures Impaction business.industry Equipment Design Middle Aged Biomechanical Phenomena Surgery Radiography Treatment Outcome medicine.anatomical_structure Orthopedic surgery Female Cortical bone business Bone Plates |
| Zdroj: | Acta Orthopaedica Scandinavica. 68:327-331 |
| ISSN: | 0001-6470 |
| DOI: | 10.3109/17453679708996171 |
| Popis: | In a prospective study, 94 consecutive patients with unstable intertrochanteric fractures were treated by 16 surgeons, using a modified 4-hole Medoff sliding plate and followed clinically and radiographically for 1 year. Weight bearing after surgery was allowed as tolerated. This new device is smaller and uses a simpler technique of insertion than the original 6-hole Medoff sliding plate. The modification of the plate makes biaxial sliding along both the shaft and the neck of the femur obligatory. All fractures united and no postoperative lag screw penetration occurred. The use of a shorter side-plate with 4 cortical bone screws was sufficient for fixation and no plate loosening or breakage was observed. On the basis of this experience, biaxial dynamization seems to facilitate fracture impaction and stability, and the simplified 4-hole Medoff sliding plate appears to be a suitable method for the treatment of unstable intertrochanteric fractures. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
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