Why the study?
Does the integrity of the lateral femoral wall predict reoperation in patients with intertrochanteric hip fractures treated with a sliding compression hip-screw device?
Does the integrity of the lateral femoral wall predict reoperation in patients with intertrochanteric hip fractures treated with a sliding compression hip-screw device?
Patients with preoperative or intraoperative fracture of the lateral femoral wall are inadequately treated with a sliding compression hip-screw device, suggesting fracture classification should include lateral wall integrity.
Lateral wall integrity may guide fixation choice in intertrochanteric fractures; leaves open prospective validation of classification systems.
A postoperative fracture of the lateral femoral wall was found to be the main predictor for a reoperation after an intertrochanteric fracture. Consequently, we concluded that patients with preoperative or intraoperative fracture of the lateral femoral wall are not treated adequately with a sliding compression hip-screw device, and intertrochanteric fractures should therefore be classified according to the integrity of the lateral femoral wall, especially in randomized trials comparing fracture implants.
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Palm et al. (2007) studied this question.
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