J Korean Orthop Assoc.  1976 Mar;11(1):52-61. 10.4055/jkoa.1976.11.1.52.

A Clinical analysis of Treatment of Trichanteric Hip Fractures

Abstract

The fact that trochanteric hip fractures are best treated by internal fixation is generally accepted in recent time, since this method provides satisfactory positioning of the fragments and obviates the hazards of recumbency. Consecutive seventy-two cases of trochanteric hip fractures were treated at the Department ef Orthopaedic Surgery, National Medical Center from 1965 to 1974. Despite death and lack of follow-up of certain cases, the late results were analysed and presented in 41cases out of 72 cases. 1. In sex difference, 30 of the patients were males and 11 were females. Forty-one percents of the patients were over 51 years of age, and the most common age group was 4th decade. 2. The most common cause of fracture was due to traffic accident. 3. Among 41 cases, 36 were treated with open reduction and internal fixation, and the rest were treated conservatively. Various devices were available for internal fixation; 21 Smith-Peterson or Thornton nails with McLaughlin plates, 5 Jewett nailing, 4. Smith-Peterson nailing plus Multiple screwing, 5 compression screwing and one multiple pinning. 4. Early weight bearing was permitted in 6 cases provided firm internal fixation after anatomical reduction, in an average of 5 weeks postoperatively. Three unstable intertrcchanteric fractures were treated by primary medial displacement fixation in valgus position, and got satisfactory results. 5. The average time in fracture healing was 16 weeks roentgenologically. 6. Complications after internal fixation were most common in the patients of Boyd and Griffin Type III fracture. 7. Owing to short duration of follow up, the number of patients who were treated with various sliding nails and compression hip screws were excluded in this paper.

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