The challenge of non-union in subtrochanteric fractures with breakage of intramedullary nail: evaluation of outcomes in surgery revision with angled blade plate and allograft bone strut.
Eur J Trauma Emerg Surg
; 43(6): 853-861, 2017 Dec.
Article
em En
| MEDLINE
| ID: mdl-28258285
ABSTRACT
PURPOSE:
Subtrochanteric fractures have a bimodal age distribution. They usually require open reduction and internal fixation. Closed reduction and intramedullary nail fixation rate are increased for this type of fracture. As a result, the hardware breakage and non-union rate is high among such patients. Our purpose is to evaluate the outcomes of the role of blade plate and bone strut allograft in the management of subtrochanteric non-union by femoral nailing. MATERIALS ANDMETHODS:
We reported a group of 22 patients with subtrochanteric non-union, associated with breakage of the intramedullary nail with medial femoral allograft bone and lateral blade plate and wire (PS) s; and a group of 13 patients with subtrochanteric non-union, associated with breakage of the intramedullary nail treated with lateral blade plate and screws (CG). The chosen criteria to evaluate the two group during the clinical and radiological follow-up were the quality of life, measured by The Short Form (12) Health Survey (SF-12), the hip function and quality of life related to it, measured by the Harris Hip Score (HHS), bone healing, measured by Radiographic Union Score (RUS) by XR and CT at 1 year after the surgery, and postoperative complications. The evaluation endpoint was set at 12 months.RESULTS:
The Bone healing measured by RUS occurred and also the full recovery before the first trauma measured by SF-12 and HHS are better in PS group. We only had three unimportant complications in PS while four breakage hardware in CG.CONCLUSION:
We conclude that in complicated non-unions, the use of blade plate and bone strut allograft has a definite positive role in the management of such cases.Palavras-chave
Texto completo:
1
Base de dados:
MEDLINE
Assunto principal:
Pinos Ortopédicos
/
Fraturas do Quadril
Idioma:
En
Ano de publicação:
2017
Tipo de documento:
Article