The treatment of trochanteric fractures using a captured hip screw.

Treatment of trochanteric and subtrochanteric hip fractures

Dual head screw hip nailing for trochanteric fractures

INTRODUCTION There are limited information and inconclusive results for dual head screw intramedullary hip nails for trochanteric fractures. Therefore, we performed a prospective study to evaluate the healing of fractures, and survival, function, and complications of patients operated with this implant. METHODS We prospectively studied 79 patients (61 women and 18 men; mean age: 84.7 years; r...

Biomechanical comparison of dynamic hip screw and Gamma nail for the treatment of unstable trochanteric fractures: a finite element study

Objectives: To investigate the biomechanical behavior of the femur with two different implant configurations, namely dynamic hip screw and Gamma nail, in the treatment of two types of unstable intertrochanteric femoral fracture. Methods: A 3D finite element model of the intact proximal femur was constructed, from which two types of fractured models (AO classification 31-A2 and 31-A3) were produ...

Dynamic hip screw fixation for inter-trochanteric fractures: determinants of outcomes.

OBJECTIVE To evaluate factors associated with revision of dynamic hip screw implant in patients undergoing the procedure for the fixation of intertrochanteric fractures. METHODS The retrospective study was conducted at the Aga Khan University Hospital, Karachi, and comprised records of patients who had undergone dynamic hip screw fixation surgery between 2008 and 2012. Medical records and dat...

Treatment of comminuted subtrochanteric fractures by dynamic hip screw.

Twenty four cases of fracture of the proximal femoral shaft treated with dynamic hip screw fixation are included. All had severe comminution with subtrochanteric extensions. Dynamic hip screw provided stable osteosynthesis and helped to achieve bone union within 18 weeks in 19 of 21 followed-up cases. The anatomical configuration of the femur was maintained with minimal limb length discrepancy ...