Tip-apex distance and other predictors of outcome in cephalomedullary nailing of unstable trochanteric fractures

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Evaluation of cephalomedullary implant fixation in unstable trochanteric fractures

Introduction: Hip fractures continue to be a major cause of mortality and disability among the elderly. Methods: The study includes 32 patients with closed unstable intertrochanteric fracture classified as AO 31A2 &31A3, over a period of 30 months between may 2008 to November 2011. Inclusion Criteria-All mature skeleton above 50 years of age .Closed Unstable Trochanteric Fracture Classified as ...

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Awareness of tip-apex distance reduces failure of fixation of trochanteric fractures of the hip.

We compared the results of the surgical treatment of trochanteric hip fractures before and after surgeons had been introduced to the tip-apex distance (TAD) as a method of evaluating screw position. There were 198 fractures evaluated retrospectively and 118 after instruction. The TAD is the sum of the distance from the tip of the screw to the apex of the femoral head on anteroposterior and late...

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Proximal Femoral Nailing in Trochanteric Fractures

Trochanteric fractures, one of the commonest fractures treated by an orthopedic surgeon, typically occur in an elderly population with osteoporotic bones, mostly as a result of low velocity injury. The main stay of treatment for these fractures is fixation with screw–side plate device or intramedullary device. Recently, intra-medullary device is gaining popularity due to their distinct biomecha...

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A six-year retrospective analysis of cut-out risk predictors in cephalomedullary nailing for pertrochanteric fractures

OBJECTIVES Intramedullary fixation is considered the most stable treatment for pertrochanteric fractures of the proximal femur and cut-out is one of the most frequent mechanical complications. In order to determine the role of clinical variables and radiological parameters in predicting the risk of this complication, we analysed the data pertaining to a group of patients recruited over the cour...

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InterTan nail versus Gamma3 nail for intramedullary nailing of unstable trochanteric fractures

BACKGROUND Trochanteric fractures (TF) have become a major source of morbidity and mortality in elderly. We conducted this study to compare the outcomes of unstable trochanteric fractures treated with the InterTan nail and Gamma3 nail. METHODS Between January 2008 and May 2013, patients aged 60 years or older with a diagnosis of unstable TF treated with InterTan nail or Gamma3 nail were inclu...

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ژورنال

عنوان ژورنال: Journal of Clinical Orthopaedics and Trauma

سال: 2019

ISSN: 0976-5662

DOI: 10.1016/j.jcot.2019.04.018