J Korean Fract Soc.  2014 Apr;27(2):120-126. 10.12671/jkfs.2014.27.2.120.

Results of Use of Compression Hip Screw with Trochanter Stabilizing Plate for Reverse Oblique Intertrochanteric Fracture

• Min BW
• Lee KJ
• Kim GW
• Bae KC
• Lee SW
• Kim DH

• KMID: 1703110
• DOI: http://doi.org/10.12671/jkfs.2014.27.2.120

Abstract

PURPOSE
The aim of this study was to analyze the use of a compression hip screw with a trochanter stabilizing plate for treatment of reverse oblique intertrochanteric fractures.
MATERIALS AND METHODS
We reviewed the results of 33 cases of reverse oblique intertrochanteric fracture treated with a compression hip screw with a trochanter stabilizing plate from January 2000 to December 2012 which were followed-up for more than one year. We evaluated postoperative bone union period, change of neck-shaft angle, sliding of hip screw, and other complications.
RESULTS
Of 33 patients, satisfactory reduction was achieved in 28 patients. Five patients had an unsatisfactory reduction, with two cases of excessive screw sliding, one of broken metal, one of varus deformity, and one of internal rotation deformity. We performed corrective osteotomy in varus and internal rotation deformity and partial hip replacement in a case of excessive screw sliding. Bone union was achieved in 29 patients, and the average bone union period was 19.2 weeks.
CONCLUSION
We consider that a compression hip screw with a trochanteric stabilized plate is a good option for treatment of reverse oblique intertrochanteric femoral fractures. However, adequate fracture reduction and ideal implant placement are a basic necessity for successful treatment.

Keyword

Intertrochanteric fracture; Reverse oblique; Compression hip screw; Trochanter stabilizing plate

MeSH Terms

Congenital Abnormalities
Femoral Fractures
Femur*
Hip Fractures
Hip*
Humans
Osteotomy

Figure

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  Fig. 1 Antero-posterior radiographs of the left hip of a 33-year-old man. (A) Preoperative radiograph showed 31-A3. Reverse oblique intertrochanteric fracture. (B) Immediate postoperative radiograph after fixation. (C) One year and one month after the operation.

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  Fig. 2 Antero-posterior radiographs of the left hip of a 59-year-old man. (A) Preoperative radiograph showed 31-A3. Reverse oblique intertrochanteric fracture. (B) Immediate postoperative radiograph after fixation. (C) Varus deformity was shown at postoperative two years. (D) Refixation was performed with a 130 angle blade plate.

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