Article: article from journal or magazin.
Low reoperation rate with the Medoff sliding plate: 1 technical failure in 63 trochanteric hip fractures.
Acta Orthopaedica Scandinavica
Publication types: Journal ArticlePublication Status: ppublish
The Medoff sliding plate was designed to treat unstable intertrochanteric and subtrochanteric fractures. This plate has a dual sliding capability along both the femoral shaft and neck in order to improve bone coaptation, interfragment compression and hence load-sharing between bone and implant in hip fractures. In a retrospective study of 63 patients (mean age 82 (51-98) years) with intertrochanteric (n 44) and high subtrochanteric fractures (n 19), we assessed the results with the Medoff sliding plate. All patients, except 1 lost to follow-up, were examined clinically and radiographically. 14 patients died within 1 year, and in the other, the mean follow-up was 15 (6-30) months. 1 technical failure occurred, leading to a single reoperation. The low technical failure rate suggests that the Medoff sliding plate with combined compression modus is suitable for treating intertrochanteric and high subtrochanteric fractures.
Aged, Aged, 80 and over, Bone Plates, Equipment Design, Female, Femoral Fractures/radiography, Femoral Fractures/surgery, Femoral Neck Fractures/surgery, Follow-Up Studies, Fracture Fixation, Internal/instrumentation, Humans, Male, Middle Aged, Reoperation/statistics & numerical data, Retrospective Studies, Treatment Outcome
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