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| Content Provider | World Health Organization (WHO)-Global Index Medicus |
|---|---|
| Author | Kim, W. Y. Han, C. H. Park, J. I. Kim, J. Y. |
| Description | Author Affiliation: Kim WY ( Department of Orthopaedic Surgery, Daejon St. Mary's Hospital, Catholic University of Korea. weonkim@ppp.kornet.net) |
| Abstract | We have reviewed 178 intertrochanteric fractures treated by dynamic hip screw (DHS) fixation between March 1995 and December 1999 and followed for a minimum of 1 year. We used Singh's classification of the trabecular bone structure in the proximal femur as a measure of osteoporosis and also classified the fractures according to three different systems (Boyd-Griffin, Evans, AO). The postoperative radiographs were examined for loss of reduction, i.e. varus angulation >100, perforation of the femoral head, more than 20-mm extrusion of a lag screw or metal failure. We found 49 cases which showed radiographic failures. Two were stable fractures and 47 unstable fractures (Evans' classification). Unstable fractures with osteoporosis had a failure rate of more than 50%. In such cases DHS should not be the first choice for treatment. |
| File Format | HTM / HTML |
| ISSN | 03412695 |
| e-ISSN | 14325195 |
| Journal | International Orthopaedics |
| Issue Number | 6 |
| Volume Number | 25 |
| Language | English |
| Publisher | Springer |
| Publisher Date | 2001-01-01 |
| Publisher Place | Germany |
| Access Restriction | Open |
| Subject Keyword | Discipline Orthopedics Fracture Fixation, Internal Hip Fractures Surgery Bone Screws Osteoporosis Complications Retrospective Studies Treatment Failure |
| Content Type | Text |
| Resource Type | Article |
| Subject | Orthopedics and Sports Medicine Surgery |
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