[Osteosynthesis of lesions of the proximal femur using dynamic screw plates. Multicenter study: 1871 cases].
A series of 1871 lesions of the upper end of the femur were treated in 32 hospitals in Belgium using a dynamic hip screw. Unstable pertrochanteric fractures were present in 34.4%. The remainder were intracapsular, extracapsular and subtrochanteric fractures, or tumour deposits. The patients were elderly, infirm and usually female. A fortnight after operation 89% were sitting, 64% could walk with a frame and 31% with crutches. Failure of fixation occurred in 3.6% of cases overall, with 6.6% in unstable fractures. Perioperative screw compression did not appear helpful, since most fractures settled after operation.
Putz
P
P
Service de Chirurgie Orthopédique, Hôpital Universitaire Brugmann, Bruxelles, Belgique.
Coussaert
E
E
Delvaux
D
D
Long Pretz
P
P
Thys
R
R
Cantraine
F
F
D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D001860:Bone Plates; D001863:Bone Screws; D004434:Early Ambulation; D005260:Female; D005265:Femoral Neck Fractures / Q000534:rehabilitation / Q000601:surgery*; D006801:Humans; D017053:Infection Control; D008297:Male; D008875:Middle Aged; D011183:Postoperative Complications / Q000517:prevention & control; D013923:Thromboembolism / Q000517:prevention & control
Ostéosynthèse des lésions proximales du fémur par vis-plaque dynamisée. Etude multicentrique: 1871 cas.