TITLE

Management of trochanteric fractures of the femur with external fixation in high-risk patients

AUTHOR(S)
Navin Karn; Giris Singh; Pankaj Kumar; Mahi Singh; Bikram Shrestha; Pashupati Chaudhary
PUB. DATE
June 2009
SOURCE
International Orthopaedics;Jun2009, Vol. 33 Issue 3, p785
SOURCE TYPE
Academic Journal
DOC. TYPE
Article
ABSTRACT
Abstract  The aim of this prospective study was to assess the outcome of trochanteric fractures of the femur after external fixation in a group of elderly patients with high surgical risk. The study population consisted of 50 patients with trochanteric fractures of the femur and a mean age of 87 years who were classified by an anaesthetist as ASA 3 or 4 and considered not suitable for conventional fractures fixation. The fracture was fixed with an external fixator under spinal anaesthesia. The final follow-up was at 12 months. All fractures healed within 12 weeks. Superficial pin tract infection occurred in 30 patients, and fracture united with a shortening of 14 mm (5–20) in 12 patients. No implant failures or limitation of knee movements were recorded. Five patients died within 1 year. External fixation is a valuable treatment alternative for trochanteric fracture of the femur in elderly patients.
ACCESSION #
41427083

 

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