title: The unstable intertrochanteric fracture in the elderly. A technical note on valgus resection osteotomy and fixation with 150 degrees dynamic hip screw.
abstract: Valgus resection osteotomy has proven its effectiveness for the treatment of unstable intertrochanteric fractures in the elderly. A modified technique is presented, which consists in (a) resection of triangular fragments proximally and distally, (b) reduction and impaction in valgus, (c) fixation through the osteotomy site by a 150 degrees dynamic hip screw, and (d) reattachment of the greater trochanter by an 8-shaped wire cerclage. The postulated advantage is that the implant acts as an intramedullary splinting in crossing the "osteotomy" site, with minimization of implant cutting out compared with a 130 degrees angled blade plate or an I-Beam Nail Plate.
authors.affiliation: Service de Chirurgie Orthopédique, Hôpital Cantonal, Fribourg, Switzerland.
authors.forename: M K
authors.initials: MK
authors.lastname: Zehntner
authors.forename: H B
authors.initials: HB
authors.lastname: Burch
mesh_terms: D000368:Aged; D000369:Aged, 80 and over; D001863:Bone Screws; D001864:Bone Wires; D005260:Female; D005594:Fracture Fixation, Intramedullary / Q000379:methods*; D006620:Hip Fractures / Q000000981:diagnostic imaging / Q000601:surgery*; D006801:Humans; D010027:Osteotomy; D011859:Radiography