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External fixation of intertrochanteric fractures in elderly high-risk patients
Faculty
Not Specified
Year:
2009
Type of Publication:
Article
Pages:
748-753
Authors:
Ali, Ayman M, Abdelkhalek, Mostafa, El-ganiney, Abdelrahman, Zyada, Yousry, Abdelmoaty, Sayed
Journal:
ACTA ORTHOPAEDICA BELGICA ACTA MEDICA BELGICA
Volume:
75
Research Area:
Orthopedics
ISSN
ISI:000273224200005
Keywords :
intertrochanteric fracture, external fixator
Abstract:
Intertrochanteric fractures of the femur were treated with an external fixator in 38 elderly high-risk patients between November 2005 and February 2007. The mean operation time was 25 min (range : 20 to 32 min), the mean fluoroscopy time was 15 see (range : 10 to 18 see), and the mean hospital stay was four days (range : 3 to 7 days). The average time to union was 9.5 weeks. No deep pin track infections occurred; superficial skin inflammation was seen in 30\%. Implant failure or knee stiffness were noted in no instance. At the latest follow-up, the mean femoral shaft-neck angle was 130 degrees (range : 116 degrees to 138 degrees), the average Harris hip score was 64 (range : 50-80). Mortality rate was 8\% at 6 months from causes unrelated to the operation. The use of a multiplanar external fixator in these patients provided a satisfactory stability, reduced their time in hospital and facilitated their postoperative rehabilitation.
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