J Korean Orthop Assoc.  1978 Jun;13(2):115-120. 10.4055/jkoa.1978.13.2.115.

Treatment of Unstable Intertrochanteric Fracture

• Suk SI
• Kim MH
• Ahn BW

• KMID: 2460371
• DOI: http://doi.org/10.4055/jkoa.1978.13.2.115

Abstract

Trochanteric fractures are seen in elderly patients and have high mortality and morbidity. Strong internal fixation and early ambulation is the best way to treat fractures. For this purpose, recently, compression sliding screw plate became popular. The surgical procedure of open reduction and internal fixation were carried on 36 intertrochanteric fractures at Depertment of Orthopedic Surgery, Seoul National University Hospital, from Jan. 1972 to Dec. 1977 and the following results were obtained. 1. Of 36 cases of intertrochanteric fracture, 20 cases were in man, with the peak age at the 5th decade, and 16 cases in woman mostly over the 7th decade. 2. Most common causes were fall or traffic accidents in man and fall in woman. 3. Interval from injury to operation was less than 1 week usually. 4. Unstable fractures were 86% and of these, Tronzo Type III was the most common. 5. The trend of use of internal fixation device was from S-P plate and screw, and Jewett nail to sliding compression plate and screw. 6. Reduction of medial displacement with Dimon-Hughston method was used commonly in Jewett nailing and anatomical reduction in sliding compression plate and screw. 7. Post operative cast immobilization were applied in a few cases of under 50 years old, Other-wise early ambulation were carried out. 8. Post operative complications were encountered in 8 cases (22%), but none were fatal.

MeSH Terms

Accidents, Traffic
Aged
Early Ambulation
Female
Hip Fractures
Humans
Immobilization
Internal Fixators
Methods
Mortality
Orthopedics
Seoul