title: Treatment of subtrochanteric nonunions.
abstract: The purpose of this retrospective study was to evaluate our results of treating subtrochanteric nonunions with a (AO/ASIF) blade plate. We treated a total of 32 patients (33 hips) with a subtrochanteric nonunion with a blade plate. Outcome measures were time to healing, complications after the index-operation and the Merle d'Aubigne hip score at follow-up. Union was achieved in 32 of the 33 hips after an average of 5 months. Complications were seen in nine patients (nine hips); five complications required re-intervention and four minor complications were treated conservatively. According to the Merle d'Aubigne hip score, 10 patients were rated as excellent, 15 as good and 7 as fair. This study shows that treatment of a subtrochanteric nonunion with a blade plate consistently leads to bony union with a good to excellent hip score in the vast majority of the patients (25 out of 33 hips).
authors.affiliation: Department of Orthopaedic Surgery, Academic Medical Center, P.O. Box 22660, 1100 DD Amsterdam, The Netherlands. j.s.devries@amc.uva.nl
authors.forename: Jasper S
authors.initials: JS
authors.lastname: de Vries
authors.forename: Peter
authors.initials: P
authors.lastname: Kloen
authors.forename: Oliver
authors.initials: O
authors.lastname: Borens
authors.forename: René K
authors.initials: RK
authors.lastname: Marti
authors.forename: David L
authors.initials: DL
authors.lastname: Helfet
mesh_terms: D000293:Adolescent; D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D001860:Bone Plates / Q000009:adverse effects; D015331:Cohort Studies; D005260:Female; D005592:Fracture Fixation / Q000009:adverse effects / Q000295:instrumentation* / Q000379:methods; D017102:Fracture Healing; D005599:Fractures, Ununited / Q000601:surgery*; D006620:Hip Fractures / Q000601:surgery*; D006801:Humans; D008297:Male; D008875:Middle Aged; D012086:Reoperation; D012189:Retrospective Studies; D016896:Treatment Outcome