Valgus reduction of trochanteric fractures.
A total of 663 patients in whom a Dynamic Hip Screw was inserted for internal fixation of an intertrochanteric femoral fracture were studied prospectively to determine the optimum position of reduction. Results show that those fractures in which a valgus reduction was performed had a reduced incidence of fixation failure. For those fractures fixed in a varus position, 28 per cent of screws cut-out from the femoral head. A valgus reduction is, therefore, to be recommended in preference to fixation in an anatomical position and a varus position must be avoided.
Parker
M J
MJ
Peterborough District Hospital, Peterborough, UK.
D000368:Aged; D000369:Aged, 80 and over; D001863:Bone Screws; D005260:Female; D005593:Fracture Fixation, Internal; D017102:Fracture Healing; D006620:Hip Fractures / Q000000981:diagnostic imaging / Q000601:surgery*; D006621:Hip Joint / Q000000981:diagnostic imaging; D006801:Humans; D008297:Male; D011446:Prospective Studies; D011859:Radiography