Key result
Internal fixation by the method of McLaughlin for pertrochanteric fractures resulted in sterile fistulae or abscesses in 12.8% of cases, likely due to electrolytic inflammation.
Why the study?
Does internal fixation by the method of McLaughlin cause electrolytic inflammation in patients with pertrochanteric fracture?
Observational (n=47)
Does internal fixation by the method of McLaughlin cause electrolytic inflammation in patients with pertrochanteric fracture?
Sterile fistulae or abscesses following McLaughlin osteosynthesis are likely due to electrolytic inflammation and resolve with hardware removal.
Alerts to electrolytic risk with McLaughlin fixation; hypothesis-generating and should not change practice.
SUMMARYOg 47 cases of pertrochanteric fracture treated by internal fixation by the method of McLaughlin fistulae or abscesses occurred later (2–14 months after operation) in 6. Culture of the discharge never gave growth.Removal of the plates and nails was regularly followed by prompt recovery.The complications were thus probably due to electrolytic inflammation.In an attempt to minimize the transfer of metal from the tool to the plate without undue prolongation of the operation it is intended to continue using an electric drill, but to drill the pilot holes through the cortex with a hand tool.
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Hans Emnéus (1956) conducted an observational in Pertrochanteric fracture (n=47). Internal fixation by the method of McLaughlin was evaluated on Fistulae or abscesses. Internal fixation by the method of McLaughlin for pertrochanteric fractures resulted in sterile fistulae or abscesses in 12.8% of cases, likely due to electrolytic inflammation.
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