Why the study?
Does a modified medial displaced osteotomy and fixation technique improve fracture union in patients with unstable comminuted intertrochanteric fractures?
Does a modified medial displaced osteotomy and fixation technique improve fracture union in patients with unstable comminuted intertrochanteric fractures?
The modified medial displaced osteotomy and fixation technique using a sliding compression screw-plate combination allows for rapid union and early weight-bearing in unstable comminuted intertrochanteric fractures.
May support early weight-bearing after modified osteotomy in unstable intertrochanteric fractures; hypothesis-generating and requires prospective trials.
A modification of the medial displaced osteotomy and fixation technique of Dimon and Hughston for the operative management of unstable comminuted intertrochanteric fractures of the hip using a sliding compression screw-plate combination was performed in seventy-two patients who were followed more than twelve months after operation. Sixty-seven fractures progressed to rapid union with good valgus reduction maintained. Sixty patients were allowed full weight-bearing on the affected extremity within eight days of the operation. The average time to fracture union in this group was three and one-half months.
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HARRINGTON et al. (1973) studied this question.
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