J Korean Fract Soc.  2005 Oct;18(4):390-393. 10.12671/jkfs.2005.18.4.390.

Treatment using Reduction of Lateral and Posterior Displacement in Unstable Intertrochanteric Fractures of the Elderly

• Sim JA
• Choi JS
• Moon DH
• Ahn SJ

• KMID: 2015402
• DOI: http://doi.org/10.12671/jkfs.2005.18.4.390

Abstract

PURPOSE: To evaluate the advantages of reduction of lateral and posterior displacement in unstable intertrochanteric fractures of the elderly.
MATERIALS AND METHODS
From January, 1997 to December, 2001, we reviewed 23 cases of unstable intertrochanteric fractures in the elderly, which underwent by reduction of lateral and posterior displacement. Using the device of internal fixation is dynamic compression hip screw (DHS), the follow up period was minimally 12 months (mean 16 months). We estimated the clinical results, the radiologic results and complications.
RESULTS
The satisfactory results was regarded as walking with walking frame and 21 cases (91.3%) showed satisfactory results. The average period of radiologic union was 18 weeks. The average sliding of lag screw was 5.3 mm and the average changes of femoral neck-shaft angle was 2.6 degree. As for the complications, 2 cases showed superficial infection and 2 cases showed pain over trochanteric area.
CONCLUSION
In the unstable intertrochanteric fractures of the elderly, treatment with reduction of lateral and posterior displacement can be considered one of reduction technique.

Keyword

Femur; Intertrochanteric fracture; Reduction of lateral and posterior displacement

MeSH Terms

Aged*
Femur
Follow-Up Studies
Hip
Hip Fractures*
Humans
Walking