Ostéosynthèse des fractures per- et sous-trochantériennes par plaque angulée versus clou Gamma. Une étude prospective randomisée [Osteosynthesis of per- and subtrochanteric fractures by blade plate versus gamma nail. A randomized prospective study].
Details
Serval ID
serval:BIB_F03D1045DC5C
Type
Article: article from journal or magazin.
Collection
Publications
Institution
Title
Ostéosynthèse des fractures per- et sous-trochantériennes par plaque angulée versus clou Gamma. Une étude prospective randomisée [Osteosynthesis of per- and subtrochanteric fractures by blade plate versus gamma nail. A randomized prospective study].
Journal
Swiss Surgery = Schweizer Chirurgie = Chirurgie Suisse = Chirurgia Svizzera
ISSN
0007-1323
1023-9332 (Print)
1023-9332 (Print)
ISSN-L
1023-9332
Publication state
Published
Issued date
2001
Volume
7
Number
3
Pages
126-133
Language
french
Notes
Publication types: Clinical Trial ; Comparative Study ; English Abstract ; Journal Article ; Randomized Controlled Trial Publication Status: ppublish
Abstract
AIM: To compare clinical and radiological results in per- and subtrochanteric fractures' management with 90 degrees blade plate or Gamma nail fixation; an implant allowing early weight-bearing and fracture healing in correct position remains still difficult.
METHOD: Between 1993 and 1995, 26 patients addressed to our Center for a Kyle IV [1] fracture were divided into 2 groups, one fixed with blade plate and the other with Gamma nail. The follow-up for all patients is 12 months.
RESULTS: Gamma nail allows early weight-bearing in all patients, fracture healing is acquired at 4.2 months; an operative diaphyseal fracture needed conversion to a long Gamma nail. We observed a slight cut-out that didn't need reoperation. In the blade plate group, we noticed three femoral head necrosis without major flattening, two non-unions, one plate's breakage and two malunions; fracture healing is acquired at 6.3 months. The two non-unions and the plate's breakage didn't need reoperation because of low functional demand.
CONCLUSION: We prefer Gamma nail in per- and subtrochanteric femoral fractures' management, it allows early and fast weight-bearing and fracture healing is acquired in all cases.
METHOD: Between 1993 and 1995, 26 patients addressed to our Center for a Kyle IV [1] fracture were divided into 2 groups, one fixed with blade plate and the other with Gamma nail. The follow-up for all patients is 12 months.
RESULTS: Gamma nail allows early weight-bearing in all patients, fracture healing is acquired at 4.2 months; an operative diaphyseal fracture needed conversion to a long Gamma nail. We observed a slight cut-out that didn't need reoperation. In the blade plate group, we noticed three femoral head necrosis without major flattening, two non-unions, one plate's breakage and two malunions; fracture healing is acquired at 6.3 months. The two non-unions and the plate's breakage didn't need reoperation because of low functional demand.
CONCLUSION: We prefer Gamma nail in per- and subtrochanteric femoral fractures' management, it allows early and fast weight-bearing and fracture healing is acquired in all cases.
Keywords
Adult, Aged, Aged, 80 and over, Bone Plates, Equipment Failure, Female, Fracture Fixation, Internal/instrumentation, Fracture Fixation, Intramedullary/instrumentation, Hip Fractures/radiography, Hip Fractures/surgery, Humans, Male, Middle Aged, Postoperative Complications/radiography, Postoperative Complications/surgery, Reoperation
Pubmed
Create date
28/01/2008 12:12
Last modification date
20/08/2019 16:18
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