title: Low reoperation rate with the Medoff sliding plate: 1 technical failure in 63 trochanteric hip fractures.
abstract: The Medoff sliding plate was designed to treat unstable intertrochanteric and subtrochanteric fractures. This plate has a dual sliding capability along both the femoral shaft and neck in order to improve bone coaptation, interfragment compression and hence load-sharing between bone and implant in hip fractures. In a retrospective study of 63 patients (mean age 82 (51-98) years) with intertrochanteric (n 44) and high subtrochanteric fractures (n 19), we assessed the results with the Medoff sliding plate. All patients, except 1 lost to follow-up, were examined clinically and radiographically. 14 patients died within 1 year, and in the other, the mean follow-up was 15 (6-30) months. 1 technical failure occurred, leading to a single reoperation. The low technical failure rate suggests that the Medoff sliding plate with combined compression modus is suitable for treating intertrochanteric and high subtrochanteric fractures.
authors.affiliation: Department of Orthopaedic Surgery, H pital Cantonal, Fribourg, Switzerland. wachtl@bluewin.ch
authors.forename: S W
authors.initials: SW
authors.lastname: Wachtl
authors.forename: E
authors.initials: E
authors.lastname: Gautier
authors.forename: R P
authors.initials: RP
authors.lastname: Jakob
mesh_terms: D000368:Aged; D000369:Aged, 80 and over; D001860:Bone Plates; D004867:Equipment Design; D005260:Female; D005264:Femoral Fractures / Q000000981:diagnostic imaging / Q000601:surgery*; D005265:Femoral Neck Fractures / Q000601:surgery; D005500:Follow-Up Studies; D005593:Fracture Fixation, Internal / Q000295:instrumentation*; D006801:Humans; D008297:Male; D008875:Middle Aged; D011859:Radiography; D012086:Reoperation / Q000706:statistics & numerical data*; D012189:Retrospective Studies; D016896:Treatment Outcome