title: Biological plate osteosynthesis of comminuted subtrochanteric fractures: a clinical study.
abstract: BACKGROUND
  Comminuted subtrochantric fractures represent a challenge for trauma surgeons. Achieving appropriate reduction and stable fixation can be difficult, some techniques being associated with technical difficulties and complications. The aim of this study is the assessment of biologic fixation in comminuted subtrochantric fractures.
  
  
  METHODS
  Twenty six men with comminuted subtrochanteric femoral fractures treated by bridging dynamic hip screw were prospectively studied. Patients were assessed clinically for pain, hip and knee range of motion, angular and rotational deformities and leg-length discrepancy. Union was assessed radiographically.
  
  
  RESULTS
  Seinheimer classification: 8 fractures were type III, 11 patients type IV and seven patients type V. Fixation was performed with dynamic hip screw (DHS). Union occurred in all cases. None of the patients had clinical pain or dysfunction.
  
  
  CONCLUSIONS
  We highly recommend submuscular plating in the treatment of comminuted subtrochantric fractures especially in the third world.
authors: Students' Scientific Research Center-SSRC, Exceptional Talent Development Center-ETDC, Tehran University of Medical Sciences-TUMS, Tehran, Iran.
authors: Saeed Reza
authors: SR
authors: Mehrpour
authors: Mohamadreza
authors: M
authors: Aghamirsalim
authors: Mohamadreza
authors: M
authors: Tavvafi
authors: Reza
authors: R
authors: Sorbi
mesh_terms: D000328:Adult; D000368:Aged; D001860:Bone Plates; D001863:Bone Screws; D005593:Fracture Fixation, Internal / Q000009:adverse effects / Q000379:methods*; D017102:Fracture Healing; D018460:Fractures, Comminuted / Q000175:diagnosis / Q000503:physiopathology / Q000601:surgery*; D006620:Hip Fractures / Q000175:diagnosis / Q000503:physiopathology / Q000601:surgery*; D006621:Hip Joint / Q000503:physiopathology / Q000601:surgery; D006622:Hip Prosthesis; D006801:Humans; D007719:Knee Joint / Q000503:physiopathology; D008297:Male; D008875:Middle Aged; D019060:Minimally Invasive Surgical Procedures / Q000009:adverse effects / Q000379:methods*; D017063:Outcome Assessment, Health Care; D011183:Postoperative Complications; D011446:Prospective Studies; D011474:Prosthesis Design; D016059:Range of Motion, Articular; D015599:Trauma Severity Indices