J Korean Soc Traumatol.  2010 Jun;23(1):1-5.

Treatment of Reverse Oblique Trochanteric Fracture with Compression Hip Screw

• Kim DH
• Lee SH
• Ha SH
• You JW

Abstract

PURPOSE
To investigate the results of treatment of reverse oblique trochanteric fractures with compression hip screw.
METHODS
We reviewed the results of 12 cases of reverse oblique trochanteric fracture treated with compression hip screw from January 2000 to December 2006 which could be followed up for more than 1 year. The mean follow up period was 26 months (15~40). The mean age was 48 years old. Injury mechanism was composed of 6 cases of traffic accident and 6 cases of fall down. 8 persons were man. We investigated the union time, degree of neck-shaft angle change, amount of sliding of compression hip screw, complications, functional and clinical results.
RESULTS
10 cases were united and the mean union time were 5 months (3~8). The mean neck-shaft angle change was 3.5 degrees (0~12). The amount of sliding of compression hip screw was 8.9 mm (2~24). There were six coxa vara, six leg due to coxa vara shortening, two nonunion, and one superficial infection. Unsatisfactory results of Jensen's social function score and Parker and Palmer's mobility score were studied.
CONCLUSION
The results of treatment of reverse oblique trochanteric fractures with compression hip screw were relatively unsatisfied.

Keyword

Femur; Trochanteric fracture; Reverse oblique fracture; Compression hip screw

MeSH Terms

Accidents, Traffic
Coxa Vara
Femur
Follow-Up Studies
Hip
Hip Fractures
Humans
Leg