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Early Surgical Results of Patients With Pertrochanteric Fractures Treated With Proximal Femoral Locked Plates

Year 2015, , 108 - 113, 26.12.2015

Sezgin Semis İsmail Burak Atalay Selçuk Yılmaz Murat Arıkan Emre Özanlağan

https://doi.org/10.5505/aot.2015.21939

Abstract

INTRODUCTION: The aim of this study is to analyze the early radiologic and clinical results of 48 patients with pertrochanteric fractures treated with proximal femoral locked plates and the advantage of this treatment method in non stable fracture patternsMETHODS: 28 female and 20 male patients were analyzed. Subtrochanteric fractures in 8 and intertrochanteric fractures in 40 patients were recorded. The mean period for operation after admission to hospital is 2.2 days. Proximal femoral locked plate was used for reconstruction in all patients.RESULTS: Patients were followed up for a mean period of 11.8 months. 1 deep and 2 superficial infections were recorded. Bony union was examined in 43 of 48 patients (89%).DISCUSSION AND CONCLUSION: In this study, we analyzed that, proximal femoral locked plate is a good surgical option for pertrochanteric fractures as it provides low morbidity rates and shorter union time.

Keywords

Pertrochanteric fracture Proximal femoral locked plate

References

  • Lavelle DG. Fractures and dislocations of the Hip. In: Canale ST, Beaty JH Campell’s Operative Orthopaedics. Mosby Year Book, Philadelphia 2008, pp 3237-3285
  • Kyle RF, Campbell SJ. Intertrochanteric Fractures. In: Chapman MW (ed), Operative Orthopaedics (2. Ed) J.B. Lippincott Company, Philadelphia 1993, pp 595- 604
  • Levy RN, Capozzi JD, Mont MA. Intertrochanteric Hip Fractures.In: Browner DB, Jupiter JB, Levine AM. (eds) Skeletal Trauma V:2; WB Saunders Company, USA 1992, pp 1443-1471
  • DeLee JC. Fractures and Dislocations of the Hip, Rockwood and Green's Fractures in Adults Vol.2; Lippincott-Raven,1996: 1659-1827
  • Green S, Moore T. Bipolar prosthetic replacement for the management of unstable inter trochanteric hip fractures in the elderly. Clin Orthop. 1987;224:168- 177
  • Browner DB, Jüpiter JB, Levine AM, Trafton PG. Skeletal Trauma V:2; WB Saunders Company, 1996: 1833-1926
  • DeLee,J.C.: Fractures and dislocations of the hip. Rockwoods and Green's fractures in adults:1481- 1555, J.B.Lippincott Company,3rd.,Phil.,1996
  • Ege, Rıdvan: Kalça Cerrahisi ve Sorunları; Türk Hava Kurumu Basımevi Ankara, 1994
  • Ganz R, Thomas RJ, Hammerle CP. Trochanteric fractures of the femur. Treatment and results. Clin Orthop. 1979; 138:230
  • Koval K, Zuckerman J. İntertrochanteric Fractures. Rockwood and Green's Fractures in Adults. Philedelphia 2001; Vol 2: 1635-1663
  • Davidson T.I.;Bodey, W.N.Facros influencing survival following fractures of the upper end of the femur. Injury 17:12-14,1986
  • Kenzora JE, McCarty RE, Lowell RD. Hip fracture mortality: relation to age, treatment, preoperative illness, time of surgery and complications. Clin Orthop. 1984;186:45-51
  • I.Azboy MD, A.Demirtaş MD, M.Gem MD a compression of proximal femoral locking plate versus 95 degree angaled blade plate in the treatment of reverse intertrokanterik fractures. Eklem Hastalik Cerrahisi. 2014;25(1):15-20
  • Loch DA, Kyle RF, Bechtold JE, Kane M, Anderson K, Sherman RE: Forces required to initate sliding in second generation intramedullary nails. J Bone Joint Surg B0-A (11) t 7626 - 31, 1998
  • Cummings SR, Rubin SM, Black D. The Future of Hip Fractures in United States: Costs and Potential Effects of Postmenopausal Estrogen. Clin Orthop 1990; 252:163-166
  • Baumgaertner M, Thomas H. Femoral Neck Fractures, Rockwood and Green's Fracrures in Adults. Philedelphia 2001; Vol 2:1579-1634

Proksimal Femoral Kilitli Kompresyon Plağı ile Tedavi Edilen Femur Pertrokanterik Kırıklı Hastaların Erken Dönem Sonuçları

Year 2015, , 108 - 113, 26.12.2015

Sezgin Semis İsmail Burak Atalay Selçuk Yılmaz Murat Arıkan Emre Özanlağan

https://doi.org/10.5505/aot.2015.21939

Abstract

GİRİŞ ve AMAÇ: Bu çalışmamızda amacımız; proksimal femoral kilitli kompresyon plağı ile tedavi ettiğimiz, pertrokanterik kırığı olan 48 hastanın, erken dönem radyografik ve klinik sonuçları ile tedavi yönteminin stabil olmayan kırıklarda da avantajlarını ortaya koymaktır.YÖNTEM ve GEREÇLER: Hastaların 28'i kadın, 20'si erkek idi. Hastaların 8 inde subtorkanterik kırık, 40 hastada intertrokanterik kırık mevcuttu. Hastalarımızın hastaneye başvuru anından sonra ameliyat olma süreleri ortalama 2,2 gün olarak belirlendi. Hastaların tamamına proksimal femoral kilitli kompresyon plağı ile stabilizasyon yapıldı.BULGULAR: Hastaların ortalama takip süresi 11,8 ay olarak belirlendi. 48 hastanın 1'inde derin ve 2'sinde yüzeyel olmak üzere 3 (%6) hastada enfeksiyon gelişti. 48 hastanın 43'ünde (%89) kaynama sağlandı.TARTIŞMA ve SONUÇ: Çalışmamızda, pertrokanterik femur kırıklarının tedavisinde proksimal femoral kilitli kompresyon plağının kullanılması ile post operatif morbiditenin daha düşük, kaynama süresinin ise daha kısa olduğunu bulduk.

Keywords

Pertrokanterik kırık Proksimal femur kilitli plak

References

  • Lavelle DG. Fractures and dislocations of the Hip. In: Canale ST, Beaty JH Campell’s Operative Orthopaedics. Mosby Year Book, Philadelphia 2008, pp 3237-3285
  • Kyle RF, Campbell SJ. Intertrochanteric Fractures. In: Chapman MW (ed), Operative Orthopaedics (2. Ed) J.B. Lippincott Company, Philadelphia 1993, pp 595- 604
  • Levy RN, Capozzi JD, Mont MA. Intertrochanteric Hip Fractures.In: Browner DB, Jupiter JB, Levine AM. (eds) Skeletal Trauma V:2; WB Saunders Company, USA 1992, pp 1443-1471
  • DeLee JC. Fractures and Dislocations of the Hip, Rockwood and Green's Fractures in Adults Vol.2; Lippincott-Raven,1996: 1659-1827
  • Green S, Moore T. Bipolar prosthetic replacement for the management of unstable inter trochanteric hip fractures in the elderly. Clin Orthop. 1987;224:168- 177
  • Browner DB, Jüpiter JB, Levine AM, Trafton PG. Skeletal Trauma V:2; WB Saunders Company, 1996: 1833-1926
  • DeLee,J.C.: Fractures and dislocations of the hip. Rockwoods and Green's fractures in adults:1481- 1555, J.B.Lippincott Company,3rd.,Phil.,1996
  • Ege, Rıdvan: Kalça Cerrahisi ve Sorunları; Türk Hava Kurumu Basımevi Ankara, 1994
  • Ganz R, Thomas RJ, Hammerle CP. Trochanteric fractures of the femur. Treatment and results. Clin Orthop. 1979; 138:230
  • Koval K, Zuckerman J. İntertrochanteric Fractures. Rockwood and Green's Fractures in Adults. Philedelphia 2001; Vol 2: 1635-1663
  • Davidson T.I.;Bodey, W.N.Facros influencing survival following fractures of the upper end of the femur. Injury 17:12-14,1986
  • Kenzora JE, McCarty RE, Lowell RD. Hip fracture mortality: relation to age, treatment, preoperative illness, time of surgery and complications. Clin Orthop. 1984;186:45-51
  • I.Azboy MD, A.Demirtaş MD, M.Gem MD a compression of proximal femoral locking plate versus 95 degree angaled blade plate in the treatment of reverse intertrokanterik fractures. Eklem Hastalik Cerrahisi. 2014;25(1):15-20
  • Loch DA, Kyle RF, Bechtold JE, Kane M, Anderson K, Sherman RE: Forces required to initate sliding in second generation intramedullary nails. J Bone Joint Surg B0-A (11) t 7626 - 31, 1998
  • Cummings SR, Rubin SM, Black D. The Future of Hip Fractures in United States: Costs and Potential Effects of Postmenopausal Estrogen. Clin Orthop 1990; 252:163-166
  • Baumgaertner M, Thomas H. Femoral Neck Fractures, Rockwood and Green's Fracrures in Adults. Philedelphia 2001; Vol 2:1579-1634
There are 16 citations in total.

Details

Primary Language Turkish
Journal Section Articles
Authors

Sezgin Semis This is me

İsmail Burak Atalay This is me

Selçuk Yılmaz This is me

Murat Arıkan This is me

Emre Özanlağan This is me

Publication Date December 26, 2015
Published in Issue Year 2015

Cite

APA Semis, S. ., Atalay, İ. B. ., Yılmaz, S. ., Arıkan, M. ., et al. (2015). Proksimal Femoral Kilitli Kompresyon Plağı ile Tedavi Edilen Femur Pertrokanterik Kırıklı Hastaların Erken Dönem Sonuçları. Acta Oncologica Turcica, 48(3), 108-113. https://doi.org/10.5505/aot.2015.21939
AMA Semis S, Atalay İB, Yılmaz S, Arıkan M, Özanlağan E. Proksimal Femoral Kilitli Kompresyon Plağı ile Tedavi Edilen Femur Pertrokanterik Kırıklı Hastaların Erken Dönem Sonuçları. Acta Oncologica Turcica. December 2015;48(3):108-113. doi:10.5505/aot.2015.21939
Chicago Semis, Sezgin, İsmail Burak Atalay, Selçuk Yılmaz, Murat Arıkan, and Emre Özanlağan. “Proksimal Femoral Kilitli Kompresyon Plağı Ile Tedavi Edilen Femur Pertrokanterik Kırıklı Hastaların Erken Dönem Sonuçları”. Acta Oncologica Turcica 48, no. 3 (December 2015): 108-13. https://doi.org/10.5505/aot.2015.21939.
EndNote Semis S, Atalay İB, Yılmaz S, Arıkan M, Özanlağan E (December 1, 2015) Proksimal Femoral Kilitli Kompresyon Plağı ile Tedavi Edilen Femur Pertrokanterik Kırıklı Hastaların Erken Dönem Sonuçları. Acta Oncologica Turcica 48 3 108–113.
IEEE S. . Semis, İ. B. . Atalay, S. . Yılmaz, M. . Arıkan, and E. . Özanlağan, “Proksimal Femoral Kilitli Kompresyon Plağı ile Tedavi Edilen Femur Pertrokanterik Kırıklı Hastaların Erken Dönem Sonuçları”, Acta Oncologica Turcica, vol. 48, no. 3, pp. 108–113, 2015, doi: 10.5505/aot.2015.21939.
ISNAD Semis, Sezgin et al. “Proksimal Femoral Kilitli Kompresyon Plağı Ile Tedavi Edilen Femur Pertrokanterik Kırıklı Hastaların Erken Dönem Sonuçları”. Acta Oncologica Turcica 48/3 (December 2015), 108-113. https://doi.org/10.5505/aot.2015.21939.
JAMA Semis S, Atalay İB, Yılmaz S, Arıkan M, Özanlağan E. Proksimal Femoral Kilitli Kompresyon Plağı ile Tedavi Edilen Femur Pertrokanterik Kırıklı Hastaların Erken Dönem Sonuçları. Acta Oncologica Turcica. 2015;48:108–113.
MLA Semis, Sezgin et al. “Proksimal Femoral Kilitli Kompresyon Plağı Ile Tedavi Edilen Femur Pertrokanterik Kırıklı Hastaların Erken Dönem Sonuçları”. Acta Oncologica Turcica, vol. 48, no. 3, 2015, pp. 108-13, doi:10.5505/aot.2015.21939.
Vancouver Semis S, Atalay İB, Yılmaz S, Arıkan M, Özanlağan E. Proksimal Femoral Kilitli Kompresyon Plağı ile Tedavi Edilen Femur Pertrokanterik Kırıklı Hastaların Erken Dönem Sonuçları. Acta Oncologica Turcica. 2015;48(3):108-13.