J Korean Hip Soc.  2006 Sep;18(4):182-188. 10.5371/jkhs.2006.18.4.182.

Blade Plate Fixation for Failed Internal Fixation of Intertrochanteric Hip fractures

Abstract

Purpose
To evaluate the results of blade plate fixation and bone grafting for the treatment of failed intertrochanteric hip fractures. Materials and Methods: Eight patients were treated with 95° blade plate fixation and bone grafts were performed in 7 patients. The mean age of the patients was 73 years old and the mean follow-up period was 26 months (range, 6 to 65 months). Clinical and radiological results were evaluated based on pain, walking ability, union period, and maintenance of reduction. Results: 6 of 8 patients obtained a solid union after a median period of 20 weeks. The neck-shaft angle was changed from 118° to 133° postoperatively. One patient underwent revision of a bipolar hemiarthroplasty due to failed blade plate fixation and varus malunion occurred in one patient Conclusion: Blade plate fixation and bone grafting for failed internal fixation of intertrochanteric hip fractures can provide a solid union and a good clinical result.

Keyword

Intertrochanteric hip fracture; Nonunion; Failed internal fixation; Blade plate

MeSH Terms

Bone Transplantation
Follow-Up Studies
Hemiarthroplasty
Hip Fractures*
Hip*
Humans
Transplants
Walking

Cited by  1 articles

Salvage Re-Fixation for the Failed Fixation of Pertrochanteric Fracture
Kyung-Jae Lee, Byung-Woo Min, Ki-Cheor Bae, Dong-Hu Kim, Kyoung-Lag Lee
J Korean Fract Soc. 2013;26(2):105-111.    doi: 10.12671/jkfs.2013.26.2.105.

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