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17 papers 0 to 25 followers
https://www.readbyqxmd.com/read/4095006/intertrochanteric-fractures-in-high-risk-geriatric-patients-treated-by-external-fixation
#1
Y Gotfried, E Frish, D G Mendes, M Roffman
Conservative treatment in intertrochanteric fractures of the high risk patient carries a high rate of mortality and morbidity. In the present study external fixation of the fracture was performed under local or light general anaesthesia. This is a safe procedure and permits immediate full weight bearing.
June 1985: Orthopedics
https://www.readbyqxmd.com/read/21939534/proximal-screws-placement-in-intertrochanteric-fractures-treated-with-external-fixation-comparison-of-two-different-techniques
#2
RANDOMIZED CONTROLLED TRIAL
Marios D Vekris, Marios G Lykissas, Gregory Manoudis, Alexandros N Mavrodontidis, Christos D Papageorgiou, Anastasios V Korompilias, Ioannis P Kostas-Agnantis, Alexandros E Beris
BACKGROUND: To compare two different techniques of proximal pin placement for the treatment of intertrochanteric fractures in elderly patients utilizing the Orthofix Pertrochanteric Fixator. METHODS: Seventy elderly high-risk patients with an average age of 81 years were treated surgically for intertrochanteric fracture, resulting from a low energy trauma. Patients were randomly divided in two groups regarding to the proximal pin placement technique. In Group A the proximal pins were inserted in a convergent way, while in Group B were inserted in parallel...
2011: Journal of Orthopaedic Surgery and Research
https://www.readbyqxmd.com/read/23450528/extramedullary-fixation-implants-and-external-fixators-for-extracapsular-hip-fractures-in-adults
#3
REVIEW
Martyn J Parker, Avishek Das
BACKGROUND: Extramedullary fixation of hip fractures involves the application of a plate and screws to the lateral side of the proximal femur. In external fixators, the stabilising component is held outside the thigh by pins or screws driven into the bone. This is an update of a Cochrane review first published in 1998, and last updated in 2005. OBJECTIVES: To assess the relative effects of different types of extramedullary fixation implant, as well as external fixators, for treating extracapsular proximal femoral (hip) fractures in adults...
2013: Cochrane Database of Systematic Reviews
https://www.readbyqxmd.com/read/11561494/management-of-pertrochanteric-fractures-in-high-risk-patients-with-an-external-fixation
#4
I C Vossinakis, L S Badras
In 44 surgical high-risk patients (ASA grade 3 or 4) pertrochanteric fractures were treated with a newly developed external fixator; all fractures healed within 14 weeks. Seven patients had a superficial pin tract infection and in 12 patients the fracture united with a shortening of 18 (5-30) mm. No implant failures or limitation of knee movements were recorded. Nine patients died during the first 6 months. The "pertrochanteric fixator" is a valuable alternative for treating high-risk, elderly patients.
2001: International Orthopaedics
https://www.readbyqxmd.com/read/1955444/external-fixation-of-intertrochanteric-fractures-of-the-femur
#5
A Dhal, M Varghese, V B Bhasin
External fixation was used in the treatment of 154 intertrochanteric fractures of the femur over a period of eight years. Good fixation and early ambulation was achieved in all cases. Blood loss was slight. There were 12 deaths due to medical causes unrelated to the surgical procedure. Deep pin-track infection occurred in six cases and late displacement of the fracture fragments in nine. The average time for union was 16 weeks. The technique is simple, quick and inexpensive, and causes minimal surgical trauma...
November 1991: Journal of Bone and Joint Surgery. British Volume
https://www.readbyqxmd.com/read/19060518/-management-of-osteoporotic-pertrochanteric-fractures-with-external-fixation-in-elderly-patients
#6
Ufuk Ozkaya, Atilla Sancar Parmaksizoğlu, Murat Gül, Yavuz Kabukçuoğlu, Gökhan Ozkazanli, Seçkin Basilgan
OBJECTIVES: We evaluated the results of osteosynthesis with external fixation for intertrochanteric hip fractures in elderly patients with a high anesthesia risk. METHODS: Fourteen ASA 4 patients (5 men, 9 women; mean age 75 years; range 65 to 81 years) with intertrochanteric hip fractures were treated with a unilateral external fixator under epidural anesthesia combined with mild sedation. According to the AO/OTA classification, six fractures were A1.2, seven fractures were A2...
August 2008: Acta Orthopaedica et Traumatologica Turcica
https://www.readbyqxmd.com/read/16326722/osteoporotic-pertrochanteric-fractures-can-be-successfully-treated-with-external-fixation
#7
REVIEW
Antonio Moroni, Cesare Faldini, Francesco Pegreffi, Amy Hoang-Kim, Sandro Giannini
No abstract text is available yet for this article.
2005: Journal of Bone and Joint Surgery. American Volume
https://www.readbyqxmd.com/read/26566315/outcomes-of-trochanteric-external-fixation-for-geriatric-inter-trochanteric-hip-fractures
#8
Ahmed H Yousry, Pranit N Chotai, Sherif A El Ghazaly, Tamer A Fayyad, Amr A Abdelgawad
INTRODUCTION: Trochanteric fractures are a leading cause of disability among the elderly. Internal fixation is the gold standard treatment. However, it may be challenging in the high-risk population. We present our results using external fixator in trochanteric fractures in the elderly. PATIENTS AND METHODS: During 2005-2012, twenty-three high-risk elderly patients (average age 70 years) with trochanteric fracture were managed using percutaneous external fixation (EF)...
December 2015: Journal of Orthopaedics
https://www.readbyqxmd.com/read/21038118/-treatment-of-intertrochanteric-femur-fractures-in-high-risk-geriatric-patients-%C3%A2-65-years-with-external-fixation
#9
Teoman Atıcı, Namık Sahin, Alpaslan Oztürk, Osman Yaray
BACKGROUND: We evaluated the results of intertrochanteric hip fractures treated with closed reduction and external fixation (minimally invasive and biological osteosynthesis) in patients with high surgical risk. METHODS: Twenty-three patients (14 females, 9 males; mean age 74 [65-88]) with intertrochanteric hip fracture classified as group III and IV according to American Society of Anesthesiologists (ASA) criteria were treated with closed reduction and unilateral external fixation under short-term anesthesia...
September 2010: Ulusal Travma Ve Acil Cerrahi Dergisi, Turkish Journal of Trauma & Emergency Surgery: TJTES
https://www.readbyqxmd.com/read/27534078/-curative-effect-analysis-on-closed-reduction-and-external-fixator-under-local-anesthesia-for-the-treatment-of-intertrochanteric-fracture-in-elderly-patients-with-high-risk
#10
Zeng-ping Wang, Lin Liu, Wen Xue, Hui-ru Zhou, Yu-xin Song, Li-yang Cai, Xian-tang Cheng, Yao-wen Qian
OBJECTIVE: To explore clinical efficacy of closed reduction and external fixation under local anesthesia for the treatment of high-risk elderly patients with intertrochanteric fracture. METHODS: From March 2013 to March 2015, 10 patients with intertrochanteric fractures treated with closing reduction and external fixator under local anesthesia were analyszed, including 4 males and 6 females, aged from 69 to 88 years old with an average of 75.2 years old. All fractures were caused by injury and classified to type I (5 cases), II (3 cases), and V (2 cases) according to Evans classification...
June 2016: Zhongguo Gu Shang, China Journal of Orthopaedics and Traumatology
https://www.readbyqxmd.com/read/27499322/less-invasive-surgery-using-external-fixator-for-the-treatment-of-subtrochanteric-femur-fracture-in-a-high-risk-geriatric-patient
#11
O Şahap Atik, Fatih I Can, M Selçuk Şenol, Toygun K Eren
A 90-year-old female patient was admitted to our clinic complaining of pain in her left hip which occurred due to fall from a chair. Her medical history included memory loss and mental changes associated with Alzheimer's disease and depression. Patient's cooperation and orientation were weak. Range of motion of the left hip was restricted and painful. Radiographs of the left hip demonstrated subtrochanteric comminuted fracture of femur. Laboratory tests revealed anemia and liver insufficiency. Departments of internal medicine and anesthesiology reported high risk for surgery...
August 2016: Eklem Hastalıkları Ve Cerrahisi, Joint Diseases & related Surgery
https://www.readbyqxmd.com/read/21399471/external-fixation-for-stable-and-unstable-intertrochanteric-fractures-in-patients-older-than-75-years-of-age-a-prospective-comparative-study
#12
COMPARATIVE STUDY
George Petsatodis, Georgios Maliogas, John Karikis, Anastasios G Christodoulou, Gregorios Venetsanakis, Nick Sachinis, Ippokratis Hatzokos, Byron Chalidis
OBJECTIVE: External fixation has been advocated as an alternative treatment method of intertrochanteric fractures in elderly and high-risk patients. However, the efficacy of the technique in all fracture types has not been clearly defined. The null hypothesis of this study was that external fixation showed equal results in either stable or unstable intertrochanteric fractures in patients older than 75 years of age. DESIGN: Prospective comparative study. SETTING: Level I trauma center...
April 2011: Journal of Orthopaedic Trauma
https://www.readbyqxmd.com/read/26317185/biomechanical-comparison-of-dynamic-hip-screw-proximal-femoral-nail-cannulated-screw-and-monoaxial-external-fixation-in-the-treatment-of-basicervical-femoral-neck-fractures
#13
COMPARATIVE STUDY
Y Imren, V Gurkan, K Bilsel, E E Desteli, M Tuna, C Gurcan, I Tuncay, C Sen
PURPOSE OF THE STUDY The objective of this study was to establish relative fixation strengths of proximal femoral nail (PFN), dynamic hip screw (DHS), monolateral external fixator (EF), and cannulated screw (CS) in basicervical hip fracture model. MATERIAL AND METHODS The study involved four groups of implanted composite proximal femoral synthetic bones of eight specimens per group; nailing with PFN, DHS, fixation with three cannulated screws, and EF. 70˚ osteotomy was performed to simulate a Pauwels Type 3 basicervical fracture...
2015: Acta Chirurgiae Orthopaedicae et Traumatologiae Cechoslovaca
https://www.readbyqxmd.com/read/15805203/dynamic-hip-screw-compared-with-external-fixation-for-treatment-of-osteoporotic-pertrochanteric-fractures-a-prospective-randomized-study
#14
RANDOMIZED CONTROLLED TRIAL
Antonio Moroni, Cesare Faldini, Francesco Pegreffi, Amy Hoang-Kim, Francesca Vannini, Sandro Giannini
BACKGROUND: Although the use of a sliding hip screw is considered to be the preferred treatment for pertrochanteric femoral fractures, we theorized that external fixation could produce clinical outcomes equal to, if not better than, the outcomes obtained with conventional treatment. Furthermore, because external fixation is minimally invasive, we expected a lower rate of morbidity and a reduced need for blood transfusions. Therefore, we compared the two treatments in a clinical trial of elderly patients with pertrochanteric fracture...
April 2005: Journal of Bone and Joint Surgery. American Volume
https://www.readbyqxmd.com/read/24332466/treatment-of-intertrochanteric-fractures-in-elderly-highrisk-patients-dynamic-hip-screw-vs-external-fixation
#15
RANDOMIZED CONTROLLED TRIAL
G H Kazemian, A R Manafi, F Najafi, M A Najafi
INTRODUCTION: Although the use of a dynamic hip screw (DHS) is considered to be the preferred treatment for intertrochanteric fractures, the external fixation device could produce clinical outcomes comparable to the outcomes obtained with conventional treatment. Furthermore, because external fixation is minimally invasive, we expected a lower rate of morbidity. Therefore, we compared the two treatments in a clinical trial of elderly patients with intertrochanteric fracture. METHODS: 60 elderly high-risk patients with an average age of 78 years were treated for intertrochanteric fracture, resulting from a low energy trauma...
March 2014: Injury
https://www.readbyqxmd.com/read/18414857/management-of-trochanteric-fractures-of-the-femur-with-external-fixation-in-high-risk-patients
#16
Navin Kumar Karn, Giris Kumar Singh, Pankaj Kumar, Mahi Pal Singh, Bikram Prasad Shrestha, Pashupati Chaudhary
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...
June 2009: International Orthopaedics
https://www.readbyqxmd.com/read/11837827/the-external-fixator-compared-with-the-sliding-hip-screw-for-pertrochanteric-fractures-of-the-femur
#17
RANDOMIZED CONTROLLED TRIAL
I C Vossinakis, L S Badras
In a prospective, randomised study we have compared the pertrochanteric external fixator (PF) with the sliding hip screw (SHS) in 100 consecutive patients who were allocated randomly to the two methods of treatment. Details of the patients and the patterns of fracture were similar in both groups. Follow-up was for six months. Use of the PF was associated with significantly less blood loss, a shorter operating time, reduced postoperative pain, shorter hospitalisation (p < 0.001), earlier mobilisation (p < 0...
January 2002: Journal of Bone and Joint Surgery. British Volume
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