[Experience with dynamic hip screw in retrochanteric and subtrochanteric fractures of upper femur.].
From 1st January 1988 to 31st December 1994, 105 patients were given 106 dynamic hip-screws in the Orthopaedic Department of the Public General Hospital, Zwettl. The average age at the time of operation was 77.6 years and the time lapse between the accident occuring and the operation performed was on average 31 hours. In 94.3% of the cases we could perform a closed reduction and in 88.7% we used a 135 degree-DHS. The four-hole plate dominated in 73.6% of the plates used. Internal complications totalled 23.6% out of which 9.5% of the patients died during their hospitalization. Here one must take note that the patients who died were of advanced age and multimorbid. We carried out clinical and radiological postoperative examinations on 54 patients (51.4%) with 55 operations (51.9%). The postoperative examinations took place on an average of 33 months (2 years and 9 months). The clinical postoperative examinations were carried out according to the Merle D'Aubigne system - 29 excellent, 58 good and 13 poor. The radiological postoperative examinations disclosed an ossian consolidation of 100% for 54 patients with 55 operations. Taking into account the classification of fractures according to the AO we find that the DHS is mainly used to treat fractures A 1/1-, A 1/2- and A 2/2-. With the exception of subtrochanteric fractures in which we have lately been using the Gamma-Nail, we have the DHS as a technically relatively simple and inexpensive implant in the treatment of pertrochanteric fractures of the neck of the femur.
Weissinger
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M
Orthopädische Abteilung des Allgemein öffentlichen Krankenhauses, Zwettl, Osterreich.
Helmreich
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C
Bösel
A
A