Reverse LISS plating for intertrochanteric hip fractures in elderly patients.

BMC Musculoskeletal Disorders
C Q ZhangB F Zeng

Abstract

Fractures of the intertrochanteric hip are common and the treatment of unstable fractures generally requires an operative approach. In elderly patients, osteoporosis makes internal fixation problematic and frequently contributes to failed fixation and poor clinical results. We have attempted to apply the Less Invasive Stabilization System (LISS) in reverse position for the repair of intertrochanteric hip fractures in elderly patients with osteoporotic bones. A retrospective review is presented of the cases of 28 elderly patients with stable and unstable fractures of the intertrochanteric hip treated using the reverse LISS. We treated 28 elderly patients with a mean age of 82.3 years. According to the Evens classification, there were 2 Type I fractures, 2 Type II fractures, 3 Type III fractures, 13 Type IV fractures, 6 Type V fractures and 2 Type R fractures. All fractures were treated using the reverse LISS. Radiographic and clinical evidence of functional outcome and complications were evaluated. Mean perioperative blood loss was 92.4 milliliters (range 35 to 245 milliliters), and the mean postoperative hospital stay was 8.7 days (range 3 to 14 days).Complications included one minor wound hematoma. Radiographically, no collaps...Continue Reading

References

Dec 29, 2000·Clinical Orthopaedics and Related Research·N A Christodoulou, C V Sdrenias
Feb 12, 2002·The Journal of Bone and Joint Surgery. British Volume·I C Vossinakis, L S Badras
Jan 26, 2005·Journal of Orthopaedic Trauma·Philip J KregorUNKNOWN Evidence-Based Orthopaedic Trauma Working Group
Nov 3, 2006·The Journal of Bone and Joint Surgery. American Volume·Peter A Cole, Mohit Bhandari

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Citations

Sep 1, 2015·Journal of Orthopaedic Surgery·B Y TanE Bk Kwek
Jul 3, 2013·Hip International : the Journal of Clinical and Experimental Research on Hip Pathology and Therapy·Simon B M MacLeanJohn N O'Hara
Jul 9, 2021·European Journal of Orthopaedic Surgery & Traumatology : Orthopédie Traumatologie·V Apivatthakakul, T Apivatthakakul

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Methods Mentioned

BETA
stable hip arthroplasty

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