MIPO in comminuted subtrochanteric fractures-technical tips
|IJOCP | April 2014 | Volume 1 | Issue 1 | Page 8
Conference: North Zone Indian Orthopaedic Association Conference, 2014 – Amritsar, India [Click for Full details]
Authors: Raj Singh, Rajesh Rohilla
Authors Affiliations:Pt. B D Sharma PGIMS Rohtak
Address of Correspondence:
H. No 25/9J, Medical Campus, PGIMS, Rohtak, -124001
Introduction – Osteosynthesis with open reduction techniques in comminuted subtrochanteric femoral fractures can further devitalize fragments and lead to increased rate of non-union, infection, and implant failure. Therefore, these fractures require indirect reduction techniques which do not further damage the vascular supply or soft tissue attachments of the fragments. Dynamic condylar screw using indirect reduction and minimally invasive technique (biological fixation) may be a good alternative to avoid these complications in such fractures.
Results: Mean union time was 16.13 (range, 13-23) weeks. There were no cases of non-union or implant failure at mean follow-up of 25.09 (range, 18-31) months. Seven patients had mean limb length discrepancy of 1.48 (range, 1-2) cm. According to Harris hip score functional results were excellent (>90) in 13 patients and good (80-90) in 33 patients with mean score of 88.2 (range, 80-90). Two patients had coxa vara and persistent limp.
Conclusion: Osteosynthesis of comminuted subtrochanteric fractures is desirable using indirect reduction and minimally invasive technique. Dynamic condylar screw can be used based on these principles, however the proper planning and execution of the technique is required to achieve good functional outcome and to avoid complications.
|How to Cite this Abstract|
|Singh Raj, Rohilla Rajesh. MIPO in comminuted subtrochanteric fractures-technical tips. I J Orthopaedic Conference Proceedings. April 2014;1(1):8.|