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Complications of the osteosynthesis at the intertrochanteric fractures of the femur

Year 1995, Volume: 29 Issue: 1, 10 - 16, 11.09.2006

Haldun Orhun Bulent Kavakli Hakan Eren Erkal Bilgic

Abstract

Fifty-one patients with trochanteric fractures treatment surgically were evaluated. The mean age was 61.44. Thirty-six of these fractures were unstable. Various types of implants were used. Dynamic Hip Screw has been the most often used implant. The average follow up period is fifteen months. Evaluation was done according to Merle D Aubigne scale. The result was excellent and good in 38 patients (%74), fair in 8 patients (%16), poor in 5 patients (%10). The most important factor for fair and poor results was technical errors probably because not having an orthopedic traction table in our clinic. In these circumstances the most often seen complication was protrusion of the screw to femoral head and neck. Secondly, reduction in varus and fixation in these position. In conclusion, in osteoporotic and unstable trochanteric fractures techniques restorating posteromedial wall must be chosen. And during trochanteric fracture surgery, traction table and C-arm image intencifications of the osteosynthesis.

Keywords

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Femur intertrokanterik kırıklarında osteosentez komplikasyonları

Year 1995, Volume: 29 Issue: 1, 10 - 16, 11.09.2006

Haldun Orhun Bulent Kavakli Hakan Eren Erkal Bilgic

Abstract

Trokanterik kırık nedeniyle cerrahi tedavi görmüş 51 hasta incelendi. Yaş ortalaması 61.44'dü. Bunlardan 36'sı anstabil kırıktı. Çeşitli implantlar kullanılan hastalarda en çok 25 hasta ile DHS uygulanmıştır. Takip süresi ortalama 15 aydır. Merle D'Aubigne sınıflandırmasına göre 38 hastada çok iyi ve iyi (%74), 8'inde orta (%16), 5'inde kötu sonuç (%10) alındı. Kötü sonuçların nedenlerinin başında hatalı implant uygulamasının olduğunu saptadık. Ortopedik cerrahi masasının olmadığı şartlarda yapılan bu ameliyatlarda en sık görülen komplikasyon çivinin femur başı veya boynundan protrüzyonu idi. İkinci sıklıkta görulen ise varusta reduksiyon ve fiksasyonu idi. Porotik ve anstabil kırıklarda posteromedial desteğin sağlanacağı cerrahi tekniklerin kullanılması gerektiği vurgulandı. Trokanterik kırıklarda traksiyon masası ve skopi kontrolünün önemi anlatıldı.

Keywords

trochanteric fracture;complications of the osteosenthesis

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Details

Primary Language English
Journal Section Original Article
Authors

Haldun Orhun This is me

Bulent Kavakli This is me

Hakan Eren This is me

Erkal Bilgic This is me

Publication Date September 11, 2006
Published in Issue Year 1995 Volume: 29 Issue: 1

Cite

APA Orhun, H., Kavakli, B., Eren, H., Bilgic, E. (2006). Complications of the osteosynthesis at the intertrochanteric fractures of the femur. Acta Orthopaedica Et Traumatologica Turcica, 29(1), 10-16. https://doi.org/10.3944/aott.v29i1.1542
AMA Orhun H, Kavakli B, Eren H, Bilgic E. Complications of the osteosynthesis at the intertrochanteric fractures of the femur. Acta Orthopaedica et Traumatologica Turcica. September 2006;29(1):10-16. doi:10.3944/aott.v29i1.1542
Chicago Orhun, Haldun, Bulent Kavakli, Hakan Eren, and Erkal Bilgic. “Complications of the Osteosynthesis at the Intertrochanteric Fractures of the Femur”. Acta Orthopaedica Et Traumatologica Turcica 29, no. 1 (September 2006): 10-16. https://doi.org/10.3944/aott.v29i1.1542.
EndNote Orhun H, Kavakli B, Eren H, Bilgic E (September 1, 2006) Complications of the osteosynthesis at the intertrochanteric fractures of the femur. Acta Orthopaedica et Traumatologica Turcica 29 1 10–16.
IEEE H. Orhun, B. Kavakli, H. Eren, and E. Bilgic, “Complications of the osteosynthesis at the intertrochanteric fractures of the femur”, Acta Orthopaedica et Traumatologica Turcica, vol. 29, no. 1, pp. 10–16, 2006, doi: 10.3944/aott.v29i1.1542.
ISNAD Orhun, Haldun et al. “Complications of the Osteosynthesis at the Intertrochanteric Fractures of the Femur”. Acta Orthopaedica et Traumatologica Turcica 29/1 (September 2006), 10-16. https://doi.org/10.3944/aott.v29i1.1542.
JAMA Orhun H, Kavakli B, Eren H, Bilgic E. Complications of the osteosynthesis at the intertrochanteric fractures of the femur. Acta Orthopaedica et Traumatologica Turcica. 2006;29:10–16.
MLA Orhun, Haldun et al. “Complications of the Osteosynthesis at the Intertrochanteric Fractures of the Femur”. Acta Orthopaedica Et Traumatologica Turcica, vol. 29, no. 1, 2006, pp. 10-16, doi:10.3944/aott.v29i1.1542.
Vancouver Orhun H, Kavakli B, Eren H, Bilgic E. Complications of the osteosynthesis at the intertrochanteric fractures of the femur. Acta Orthopaedica et Traumatologica Turcica. 2006;29(1):10-6.