Results of Compression Hip Screw Method for Trochanteric Fractures

Abstract

We report the results of surgical treatment of 51 trochanteric fractures of the femur using the Compression Hip Screw.
The average age of patients at the time of surgery was 76.0 years (range, 24-91 years). Average follow up period after surgery was 11.3 months (range, 3-46 months).
According to the classification of Evans, 25 cases were stable and 26 cases were unstable.
The results of treatment were as follows;
(1) After the fracture, 11 patients became wheelchair bound and one patient became bedridden.
(2) Radiographic findings showed that the fracture line disappeared by 18.4 weeks post-operatively and the mean decrease in the collodiaphyseal angle was 3.5° and the mean shortening of the femoral neck was 3.8mm.
(3) Local complications were observed in 4 cases; coxa vara deformity in one, cut-out in one, and local pain in two.