J Korean Fract Soc.  2014 Jan;27(1):105-112. 10.12671/jkfs.2014.27.1.105.

Hip Arthroplasty in Intertrochanteric Fractures: Is It Acceptable Treatment?

• Kim YC
• Kim JW
• Lim JY

• KMID: 1817009
• DOI: http://doi.org/10.12671/jkfs.2014.27.1.105

Abstract

No abstract available.

MeSH Terms

Arthroplasty*
Hip Fractures*
Hip*

Figure

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  Fig. 1 Classification of intertrochanteric fractures (AO/OTA classification).

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  Fig. 2 (A) Intertrochanteric fracture with lateral wall fracture fixated by dynamic compression screw. (B) Failure of internal fixation.

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  Fig. 3 Serial hip anteroposterior and axial X-rays of a 59-year-old female. (A) Failure of internal fixation (dynamic compression screw) caused by malreduction. (B) Revision osteosynthesis using a dynamic compression screw and a trochanteric stabilizing plate. (C) At 18 months after revision, the fracture was well united.

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  Fig. 4 (A) Unstable intertrochanteric fracture in an 82-year-old male (AO classification 31-A2.2). (B) Immediate postoperative x-rays (antero-posterior view & lateral view). Unsatisfactory reduction and incorrect position of blade. (C) Cut out of the blade. (D) A revisional bipolar hemiarthroplasty was performed.

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  Fig. 5 Nonunion of the greater trochanter after bipolar hemiarthroplasty. (A) Preoperative left hip anteroposterior (AP) x-ray of a 95-year-old female. (B) Immediate postoperative left hip AP. (C) Postoperative four-month left hip AP showing the displaced greater trochanter.

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