Intertrochanteric fractures are a significant orthopaedic burden. The aim of this study was to assess how the Percutaneous Compression Plate (PCCP) technique performs compared to the traditional dynamic hip screw (DHS). A meta-analysis of all head to head trials (1995-2006) comparing the two techniques was performed. Early mortality (< or = 1 year) was the major outcome of interest. Secondary o...

The purpose of this study was to compare minimally invasive and conventional dynamic hip screw techniques for the treatment of intertrochanteric fractures in older patients. Relevant randomized, controlled studies were included. The methodological quality was assessed, and data were extracted independently. Five studies (353 fractures) that compared minimally invasive and conventional dynamic h...

In osteoporotic hip fractures, fracture collapse is deliberately allowed by commonly used implants to improve dynamic contact and healing. The muscle lever arm is, however, compromised by shortening. We evaluated a cohort of 361 patients with AO/OTA 31.A1 or 31.A2 intertrochanteric fracture treated by the dynamic hip screw (DHS) who had a minimal follow-up of 3 months and an average follow-up o...

INTRODUCTION The objective of this study was to determine if a synthetic bone substitute would provide results similar to bone from osteoporotic femoral heads during in vitro testing with orthopaedic implants. If the synthetic material could produce results similar to those of the osteoporotic bone, it could reduce or eliminate the need for testing of implants on bone. METHODS Pushout studies...

Abstract Aim Fragility hip fracture is associated with significant morbidity and mortality. Bone biomechanics are central to orthopaedic surgery as it vital optimise patient outcomes. This review aims provide the relevant of for clinicians. Method The following terms were used in Embase Medline: biomechanics, fracture, proximal femoral fragility fracture. Bibliographies articles scrutinised ide...

Background: In current practice, proximal femoral nail (PFN) and dynamic hip screw (DHS) with locking side plate are the implant of choice in stable trochanteric fractures. Most deficiencies standard DHS have been addressed by introduction Locking plate. There plenty studies comparing PFN. But PFN scarce literature. This study aimed to compare outcomes both implants pertrochanteric Methods: The...

INTRODUCTION Previous studies have suggested that there is a positive correlation between the extent of video gaming and efficiency of surgical skill acquisition on laparoscopic and endovascular surgical simulators amongst trainees. However, the link between video gaming and orthopaedic trauma simulation remains unexamined, in particular dynamic hip screw (DHS) stimulation. OBJECTIVE To asses...

The subtrochanteric region has certain anatomical and biomechanical features that can make fractures in this region difficult for the treating surgeon. The preferred type of device is a matter of debate. Increased understanding of mechanical characteristics of the dynamic hip screw (DHS) has reduced the incidence of complications. Our hypothesis is based on the technical optimization of the DHS...

BACKGROUND Percutaneous compression plating (PCCP) has been advocated to reduce blood loss, relieve pain, and lead to faster rehabilitation for the treatment of intertrochanteric fractures. The purpose of this meta-analysis was to estimate the outcomes and complications of the PCCP versus dynamic hip screw (DHS) fixation for intertrochanteric fractures. METHODS All randomized controlled trial...

Intertrochanteric fractures are significantly increasing in older adults. Treatment choices for trochanteric include intramedullary nail and extra medullary fixation, even though the appropriate treatment such remain controversial. The present study was aimed to assess optimal option intertrochanteric determine which method i.e. proximal femoral nailing (PFN) dynamic hip screw fixation (DHS) gi...