Pantrochanteric Fracture: Incidence of the Complication in Patients with Trochanteric Fracture Treated with Dynamic Hip Screw in a Hospital of Southern Brazil

Revista Brasileira De Ortopedia
Marcelo Teodoro Ezequiel GuerraBruno Cornelios Leite

Abstract

The aim of the present study was to investigate the incidence of pantrochanteric fractures in cases of trochanteric fractures treated with dynamic hip screw in our service. A sample of 54 patients with trochanteric fractures treated with dynamic hip screws was included in this retrospective study. Preoperative radiographs were evaluated for fracture classification using the Arbeitsgemeinschaft für Osteosynthesefragen (Association for the Study of Internal Fixation, in German)/Orthopedic Trauma Association (AO/OTA) system for the identification of radiographic osteoporosis and for the measurement of the lateral femoral wall thickness. In the immediate postoperative images, the presence of pantrochanteric fracture was evaluated. The final sample presented an incidence of 16.7% of pantrochanteric fractures. The thickness of the lateral wall was significantly lower in the group with the complication ( p  < 0.001). Although fractures classified as 31-A2 were more numerous in the group with pantrochanteric fracture, the difference was not statistically significant ( p  = 0.456). The percentage of pantrochanteric fractures in this service is in accordance with previous studies. There was an association between lateral femoral wall thi...Continue Reading

References

Mar 17, 2009·International Orthopaedics·R K GuptaPankaj Walecha
Oct 15, 2009·JAMA : the Journal of the American Medical Association·Carmen A BrauerAllison B Rosen
Mar 8, 2012·Journal of Orthopaedic Trauma·Gotfried Yechiel
Nov 25, 2014·European Journal of Orthopaedic Surgery & Traumatology : Orthopédie Traumatologie·Deepak JoshiArvind B Goregaonkar

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