J Korean Orthop Assoc.  1974 Sep;9(3):374-379. 10.4055/jkoa.1974.9.3.374.

Some Trials of L.F.A. for Comminuted Intertrochanteric Fractures (Hip)

• Chang IY
• Lee CJ
• Kim JJ
• Lee KB
• KO CU

• KMID: 2471496
• DOI: http://doi.org/10.4055/jkoa.1974.9.3.374

Abstract

No abstract available in English.

MeSH Terms

Hip Fractures*

Figure

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  Fig. 1 Radiogram at admission, Case 1. Type 5: An uncommon trochanteric fracture with reverse obliquity to the fracture line.

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  Fig. 2 Post-operative radiogram after attempting to secure internal fixation. Anatomical reduction failed because of comminution and distortion of the part (case 1) Patient was kept in a Thomas splint with fixed traction after operation.

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  Fig. 3 L. F. A. of the right hip for Case 1. No. 1 position for reattachment of the trochanter with use of conventional wiring. There is considerable exposed cement between the collor of the prosthesis and bone to attempt restoration of the femoral length which is mouded in shape. Large fragment including lesser trochanter is still remained. Some evidance of the shaft perforation is demonstrable at the medial aspect of the proximal femur.

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  Fig. 4 Type 3: Comminuted fractures in which the lesser trochanter is large. The posterior wall is exploded. The beak of the inferior neck is already displaced into medullary cavity of the shaft fragment, in addition it was difficult to classify Case 2 as type 3 or Type 3 variant because of leaving the shaft fragmen with a transverse plane. But there was no separated appearance of greater trochanter which is confirmed by a trocanter cone view showing top circle.

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  Fig. 5 L. F. A. of the left hip for case 2. Number 3 position for reattachment of the trochanter enhanced by spring loaded wire.

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  Fig. 6 Post operative radiogram 4 month after LFA. Paraarticular ossification is demonstable proximal to the Greater trochonter

Reference

1. Boyed H.B., Anderson L.D.Management of unstable trochanteric fractures. Surg. Gynec. Obstet.,. 112:633–683. 1961.

2. Charnley J.(1974); The centre for Hip Surgery, Wrightington Hospital, Lancs. England.: Personal communication:

3. Tronzo R.G.Surgery of the hip joint. Philadelphia, Lea & Febiger;1973.

4. Brooker A.F., Bowerman J.W., Robinson R.A., Riley L.H.Ectopic Ossification following total hip Replacement. J. B. J. S. 55-A:1629. 1973.