Journal of Musculoskeletal Trauma

Original Article

Treatment of Failed Internal Fixation of Intertrochanteric Fractures of Femur: Hyung Gyu Kim, Byeong Mun Park, Kyeong Seop Song, Chang Hun Sung, Jong Min Kim, Jae Hyung Cho, Nam Heun Kim; J Korean Fract Soc 2005;18(2):120-125. Published online April 30, 2005; DOI: https://doi.org/10.12671/jkfs.2005.18.2.120

PURPOSE
To compare the result of failed internal fixation of intertrochanteric fractures treated with arthroplasty and 95degrees angled blade plate.
MATERIALS AND METHODS
From June 2000 to may 2003, there were 12 cases with failed internal fixation of intertrochanteric fractures among 185 cases treated with dynamic hip screw and followed up for more than 1 year. The 4 cases were treated with bipolar hemiarthroplasty, 1 case with total hip arthroplasty, and other 7 cases were treated with 95degrees angled blade plate with allograft, evaluated clinically the operation times, blood loss, walking ability and complication.
RESULTS
In the 7 cases, which treated with 95degrees angled blade plate, the average operation time was 109 minutes, the average blood loss was 431 ml. The result of keeping abreast of 1 year, no aid ambulation was 4 cases, the cane ambulation was 2 cases, the walker ambulation was 1 case, and there was no pain in 3 cases, mild pain in 4 cases, and no moderate pain. In the 5 cases, which treated with arthroplasty, the average operation time was 157 minutes, the average blood loss was 618 ml. During 1 year, no aid ambulation was 3 cases, the cane ambulation was 1 case, the walker ambulation was 1 case, and no pain in 2 cases, mild pain in 1 case, moderate pain in 1 case.
CONCLUSION
Both 95degrees angled blade plate and arthroplasty can be useful for failed internal fixation of intertrochanteric fractures, and the choice of implant must be determined with caution, considering the surgical conditions of patient, as well as benefits of each devices

Citations

Citations to this article as recorded by

Complication Analysis of Conversion Hip Arthroplasty after Failed Intertrochanteric Fracture Fixation: A Meta-Analysis
Naye Kang, Ki-Tae Park, Suyeon Park, Eunseo Joung, Nah Yon Kim, Byung-Ho Yoon
Clinics in Orthopedic Surgery.2026; 18(2): 228. CrossRef

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