J Korean Hip Soc.  2006 Sep;18(4):182-188. 10.5371/jkhs.2006.18.4.182.

Blade Plate Fixation for Failed Internal Fixation of Intertrochanteric Hip fractures

• Chang JS
• Oh HK

• KMID: 2190838
• DOI: http://doi.org/10.5371/jkhs.2006.18.4.182

Abstract

Purpose
To evaluate the results of blade plate fixation and bone grafting for the treatment of failed intertrochanteric hip fractures. Materials and Methods: Eight patients were treated with 95° blade plate fixation and bone grafts were performed in 7 patients. The mean age of the patients was 73 years old and the mean follow-up period was 26 months (range, 6 to 65 months). Clinical and radiological results were evaluated based on pain, walking ability, union period, and maintenance of reduction. Results: 6 of 8 patients obtained a solid union after a median period of 20 weeks. The neck-shaft angle was changed from 118° to 133° postoperatively. One patient underwent revision of a bipolar hemiarthroplasty due to failed blade plate fixation and varus malunion occurred in one patient Conclusion: Blade plate fixation and bone grafting for failed internal fixation of intertrochanteric hip fractures can provide a solid union and a good clinical result.

Keyword

Intertrochanteric hip fracture; Nonunion; Failed internal fixation; Blade plate

MeSH Terms

Bone Transplantation
Follow-Up Studies
Hemiarthroplasty
Hip Fractures*
Hip*
Humans
Transplants
Walking