[Socioeconomic value of early weight-bearing after fracture of the greater trochanter:--the role of osteosynthesis using an angled support plate].
Early full-weight bearing in patients undergoing surgery for femoral trochanteric fractures does not decrease the rate of mortality. However, such full-weight bearing is of great psychological value for the patients as well as the nursing staff to whom immediate care seems thus more ambitious. Moreover, such an attitude reduces post-operative hospitalisation and an eventual convalescence period to a minimum. This full-weight bearing is allowed by different techniques which are here outlined and discussed. The authors propose a 95 degree angular plate which avoids acetabular protrusion during weight bearing before bone healing. Addition of a stay renders this plate more resistant than the 130 degree one which, moreover, migrates toward the hip joint during weight bearing. An experimental study has proved that this material allows early weight bearing without risk of rupture. Clinical applications have confirmed such a view.
Vichard
P
P
Zeil
A
A
Balmat
P
P
D000368:Aged; D000369:Aged, 80 and over; D004434:Early Ambulation; D005260:Female; D005592:Fracture Fixation / Q000379:methods*; D006620:Hip Fractures / Q000601:surgery*; D006801:Humans; D008297:Male; D012959:Socioeconomic Factors
Intérêt socio-économique de la mise en charge précoce après fracture du massif trochantérien:--place de l'ostéosynthèse utilisant la plaque coudée à étai.