Internal fixation of intracapsular hip fractures with a dynamic locking plate: initial experience and results for 83 patients treated with a new implant.
The results of treatment for 83 patients treated with a new implant designed specifically for the internal fixation of intracapsular hip fractures are reported. Nonunion occurred in one out of the 37 undisplaced fractures (3%) and seven out of the 46 displaced fractures (15%). In addition, four patients developed avascular necrosis (5%), one developed a fracture around the distal screws and another developed deep wound infection. The functional recovery at patients at 1 year was excellent. The results to date for this new implant suggest that it may lead to reduced fracture-healing complications in comparison to the currently used methods of internal fixation.
Parker
Martyn J
MJ
Peterborough & Stamford NHS Foundation Trust, Peterborough District Hospital, Thorpe Road, Peterborough PE3 6DA, UK. Martyn.Parker@pbh-tr.nhs.uk
Stedtfeld
Hans-Werner
HW
D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D001860:Bone Plates; D001863:Bone Screws; D002183:Canes / Q000706:statistics & numerical data; D005260:Female; D005271:Femur Head Necrosis / Q000000981:diagnostic imaging / Q000453:epidemiology / Q000209:etiology; D005593:Fracture Fixation, Internal / Q000009:adverse effects / Q000295:instrumentation*; D017102:Fracture Healing / Q000502:physiology; D005599:Fractures, Ununited / Q000453:epidemiology / Q000209:etiology; D006620:Hip Fractures / Q000000981:diagnostic imaging / Q000601:surgery*; D006801:Humans; D008297:Male; D008875:Middle Aged; D011474:Prosthesis Design / Q000592:standards; D011859:Radiography; D020127:Recovery of Function; D012086:Reoperation; D016896:Treatment Outcome; D014853:Walkers / Q000706:statistics & numerical data