The Journal of the Chugoku-Shikoku Orthopaedic Association
Online ISSN : 1347-5606
Print ISSN : 0915-2695
ISSN-L : 0915-2695
Treatment for Femoral Trochanteric Fractures by Dynamic Hip Screw with Trochanteric Plate
Yuko FUJIIHaruo SHIRAKATANaohiko MASHIMATadao MORINOHisashi OISHIYoshiro MATSUDAHaruyasu YAMAMOTOKohei ISHIMARU
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2001 Volume 13 Issue 2 Pages 277-281

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Abstract
We treated unstable intertrochanteric fractures with the modular trochanteric plate (TP) in addition to the dynamic hip screw (DHS). The mean follow-up period was 9 months. The cases consisted of 1 male and 6 females with an average age of 85 years old (range, 76 to 93 years old). According to AO classification, all cases were 31-A2. The patient were able to bear full weight within 8 weeks after operation. In all cases callus formation was obtained within 6 to 8 weeks. Limited fracture impaction was found in 5 cases with telescoping of 4.9mm (range, 0 to 10mm). Infection, breakage of implant, and cut-out of the lag screw did not occur. In unstable intertrochanteric fractures, the addition of TP to the DHS is a favorable treatment.
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