[Management of the cut-out of various forms of osteosynthesis for proximal femoral fractures]. / Management des Cut-out verschiedener Osteosyntheseformen bei proximalen Femurfrakturen.
Unfallchirurgie (Heidelb)
; 127(5): 343-348, 2024 May.
Article
in De
| MEDLINE
| ID: mdl-38466408
ABSTRACT
Proximal femoral fractures are a common type of injury in older people. A cut-out of the femoral neck screw after initial osteosynthetic surgery of proximal femoral fractures is a frequent and feared complication. There could be different causes for cut-outs. Osteoporosis and necrosis of the femoral head could be biological reasons for cut-outs; however, mechanical factors, such as reduction, implant position and morphological characteristics of fractures also have a major influence on the cut-out rate. The treatment of the cut-out is often complex and depends on the destruction of the femoral head and the acetabulum. If the bone quality is still good and the head is not completely destroyed, a reosteosynthesis can be performed. Conversion to an endoprosthetic replacement is often the only possibility. Endoprosthetic treatment is often complex and associated with a high morbidity.
Key words
Full text:
1
Collection:
01-internacional
Database:
MEDLINE
Main subject:
Bone Screws
/
Fracture Fixation, Internal
/
Proximal Femoral Fractures
Limits:
Humans
Language:
De
Journal:
Unfallchirurgie (Heidelb)
Year:
2024
Document type:
Article