Synapse
⌘+K
Synapse
PulseExploreClubsResearchersJournals
Instagram
HomeClubsExplore
July 1, 2003Clinical Orthopaedics and Related Research

Salvage of Failed Internal Fixation of Intertrochanteric Hip Fractures

View Full Paper
Ask AI
Bookmark
Share

Key result

Revision open reduction and internal fixation with bone grafting for failed intertrochanteric hip fractures achieved healing in 95% (19 of 20) of nonunions.

Why the study?

Does revision open reduction and internal fixation with bone grafting improve healing in patients with failed internal fixation of intertrochanteric hip fractures?

Population

20 patients with 20 intertrochanteric fractures who had initial internal fixation that failed, mean age 58…

Design

Case_series

Follow-up

Mean clinical followup 27 months, mean radiographic…

Authors

GHGeorge J. HaidukewychFlorida State UniversityDBDaniel J. BerryBerry College

Discussion

Loading...

Member takes

Overview

May support salvage revision ORIF with grafting for intertrochanteric nonunion; hypothesis-generating from Level 5 data and requires prospective validation.

Study Design

Type

Observational (n=20)

Structured PICO

Does revision open reduction and internal fixation with bone grafting improve healing in patients with failed internal fixation of intertrochanteric hip fractures?

P
Population
20 patients (mean age 58 years) with failed internal fixation of intertrochanteric hip fractures treated with revision internal fixation and bone grafting, followed for a mean of 27 months.
E
Exposure
Revision open reduction and internal fixation and bone grafting (using angled blade plate, dynamic hip screw, dynamic condylar screw, or Zickel nail, with autograft or allograft bone).
O
Outcome
Healing of nonunionhard clinical

Revision internal fixation with bone grafting is an effective salvage strategy for failed internal fixation of intertrochanteric hip fractures, achieving a 95% union rate.

Cite This Study

Haidukewych et al. (2003) conducted an observational in failed internal fixation of intertrochanteric hip fractures (n=20). revision open reduction and internal fixation and bone grafting was evaluated on healing of nonunions. Revision open reduction and internal fixation with bone grafting for failed intertrochanteric hip fractures achieved healing in 95% (19 of 20) of nonunions.

synapsesocial.com/papers/6a9febcd38b9addeebefd403https://doi.org/10.1097/01.blo.0000071753.41516.27
View Full Paper
Ask AI
Bookmark
Share

Also Consider

Synapse has enriched 3 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1Nonunion of Intertrochanteric Fractures of the Femur Following Open Reduction and Internal1987 · 95 citations
  2. 2Total Hip Arthroplasty Following Failed Internal Fixation of Hip Fractures1991 · 115 citations
  3. 3Analysis of six hundred and twenty-two intertrochanteric hip fractures.1979 · 406 citations