Young Chang Kim; Ji Wan Kim; Jae Young Lim

doi:10.12671/jkfs.2014.27.1.105

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Review Article
Hip Arthroplasty in Intertrochanteric Fractures: Is It Acceptable Treatment?: Young Chang Kim, M.D., Ji Wan Kim, M.D., Jae Young Lim, M.D.; Journal of the Korean Fracture Society 2014;27(1):105-112.
DOI: https://doi.org/10.12671/jkfs.2014.27.1.105
Published online: January 17, 2014

Department of Orthopaedic Surgery, Haeundae Paik Hospital, Inje University College of Medicine, Busan, Korea.

Address reprint requests to: Young Chang Kim, M.D. Department of Orthopaedic Surgery, Haeundae Paik Hospital, 875 Haeun-daero, Haeundae-gu, Busan 612-862, Korea. Tel: 82-51-797-0990, Fax: 82-51-797-0991, oskimyc@inje.ac.kr

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Fig. 1

Classification of intertrochanteric fractures (AO/OTA classification).

Fig. 2

(A) Intertrochanteric fracture with lateral wall fracture fixated by dynamic compression screw. (B) Failure of internal fixation.

Fig. 3

Serial hip anteroposterior and axial X-rays of a 59-year-old female. (A) Failure of internal fixation (dynamic compression screw) caused by malreduction. (B) Revision osteosynthesis using a dynamic compression screw and a trochanteric stabilizing plate. (C) At 18 months after revision, the fracture was well united.

Fig. 4

(A) Unstable intertrochanteric fracture in an 82-year-old male (AO classification 31-A2.2). (B) Immediate postoperative x-rays (antero-posterior view & lateral view). Unsatisfactory reduction and incorrect position of blade. (C) Cut out of the blade. (D) A revisional bipolar hemiarthroplasty was performed.

Fig. 5

Nonunion of the greater trochanter after bipolar hemiarthroplasty. (A) Preoperative left hip anteroposterior (AP) x-ray of a 95-year-old female. (B) Immediate postoperative left hip AP. (C) Postoperative four-month left hip AP showing the displaced greater trochanter.

Figure & Data

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Primary Cementless Hip Arthroplasty in Unstable Intertrochanteric Femur Fracture in Elderlys: Short-term Results
Su-Hyun Cho, Hyung Lae Cho, Hong Cho
Hip & Pelvis.2014; 26(3): 157. CrossRef

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