Two-hole side-plate DHS in the treatment of intertrochanteric fracture: results and complications.
We reviewed 83 intertrochanteric fractures fixed with a 135 degree dynamic hip screw (DHS) and two-hole side-plate. The mean age was 72 years. There were 13 A1.1, 24 A1.2, 16 A2.1, 29 A2.2 and 1 A2.3 fractures. Established osteoporosis was seen in 55 patients. The mean time to union was 14.5 weeks. Sixty-eight percent had minimal collapse, 24% moderate and 8% severe. Over 80% of moderate and severe collapses were associated with osteoporosis and an unstable fracture pattern. There were four failures: two from lag screw cut-out and two from pull-out of the side-plate.
Laohapoonrungsee
A
A
Department of Orthopaedics, Faculty of Medicine, Chiang Mai University, Chiang Mai 50200, Thailand. alaohapo@mail.med.cmu.ac.th
Arpornchayanon
O
O
Phornputkul
C
C
D000368:Aged; D001860:Bone Plates; D001863:Bone Screws; D005260:Female; D005593:Fracture Fixation, Internal / Q000379:methods*; D006620:Hip Fractures / Q000000981:diagnostic imaging / Q000209:etiology / Q000601:surgery*; D006621:Hip Joint / Q000000981:diagnostic imaging; D006801:Humans; D008297:Male; D010024:Osteoporosis / Q000150:complications; D011183:Postoperative Complications / Q000209:etiology; D011474:Prosthesis Design; D011475:Prosthesis Failure; D011859:Radiography; D016896:Treatment Outcome