Compression hip screw in trochanteric fractures. Conclusions based on 128 cases
Alexa, O.; Georgescu, N.
Revista Medico-Chirurgicala a Societatii de Medici Si Naturalisti Din Iasi 105(4): 810-814
2001
ISSN/ISBN: 0048-7848 PMID: 12092245 Document Number: 6438
Compression hip screw is currently used in our department since 1998 and we operated 128 trochanteric fractures using DHS (Synthes) or Omega system (Howmedica-Stryker). We recommend the use of this implant in all stable fractures, most unstable fractures and we believe it is useless in reverse oblique trochanteric fractures. Best time for surgery seems to be the first or second day after admission. A preoperative planning must precede the surgery. We prefer the lateral approach of the hip with "L" type incision for vastus lateralis. For insertion of implant AO original technique was used. Mechanical complication occur only in unstable fractures but the failure rate was lower than for other implants. Patient with stable fractures were allowed full weight bearing immediately postoperative, this being delayed 6 weeks for patients with unstable fractures. We recommend compression hip screw as a very useful implant in trochanteric fractures.
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