Femoral shortening after surgical treatment of trochanteric fractures in nongeriatric patients

The Journal of Trauma
Patrick PlatzerVilmos Vécsei

Abstract

Femoral shortening is a well-known clinical finding after surgical treatment of per- and intertrochanteric fractures. Particularly, in geriatric patients with poor bone quality and unstable fracture types, secondary compression of these fractures often leads to length inequality of the lower limbs. In younger patients with good bone quality and mobilization with delayed weight bearing, limb length shortening is expected to be a rare complication. The purpose of this study was to analyze incidence and degree of femoral shortening in patients younger than 60 years of age after fixation of different types of per- and intertrochanteric fractures. In addition, we compared the results of two different implants, which were used for operative treatment. Ninety-five patients, younger than 60 years of age, were evaluated for femoral shortening after surgical treatment of per- and intertrochanteric fractures between 1997 and 2002. Follow-up examinations took place at an average of 3.2 years (2-5 years) after trauma. Fractures were classified by the AO/OTA system and divided into sub-types 31 A1, 31 A2, and 31 A3. Two different implants (dynamic hip screw and cephalomedullary nail) were used for operative treatment, mainly depending on typ...Continue Reading

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Citations

Jun 29, 2010·BMC Musculoskeletal Disorders·Alicja J BojanAnders Jönsson
Nov 2, 2014·BMC Musculoskeletal Disorders·Jeff Chien-Fu LinTsai-Hsueh Leu
Jan 5, 2016·Orthopedics·Andreas F MavrogenisPanayiotis J Papagelopoulos
May 18, 2010·Injury·Ching-Hou MaChin-Hsien Wu
Jan 18, 2014·Orthopaedics & Traumatology, Surgery & Research : OTSR·P Adam
Sep 29, 2017·Acta ortopedica brasileira·Babak PourabbasZeinab Kargarshouroki
Jul 29, 2018·Archives of Orthopaedic and Trauma Surgery·Thomas HaiderGerald E Wozasek
Sep 22, 2018·Journal of Orthopaedic Trauma·Elizabeth B GausdenDean G Lorich
Feb 16, 2013·Journal of Orthopaedic Trauma·Meir MarmorAmir Matityahu
May 26, 2017·Journal of Orthopaedic Trauma·Ron GilatYoram A Weil
Dec 9, 2016·European Journal of Orthopaedic Surgery & Traumatology : Orthopédie Traumatologie·D N RamoutarUNKNOWN Nottingham University Hospitals NHS Trust
Dec 21, 2012·Journal of Orthopaedic Surgery·Frankie LeungShew-Ping Chow

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