PMID: 1199718Nov 1, 1975Paper

Trochanteric femoral fractures treated with McLaughlin osteosynthesis

Acta Orthopaedica Scandinavica
J S Jensen, M Michaelsen

Abstract

Of 317 patients with trochanteric femoral fractures, 305 were treated with McLaughlin osteosynthesis. The mortality rate was 14.5 per cent. The postoperative complication rate (35.6 per cent) was dominated by cardiopulmonary (10.6 per cent) and thromboembolic (10.6 per cent) events. Wound infection was found in 3.8 per cent and osteitis in 0.9 per cent. In all, 106 patients had stable fractures according to the Evans classification. Of these, four had to be re-operated due to penetration or a loose bolt. Two hundred and eleven patients (66.6 per cent) had unstable fractures. Follow-up of 169 patients showed two-thirds to have healed in unchanged position. Only 14.8 per cent of the 169 patients had significant fracture complications, particularly varus dislocation of more than 20 degrees (nine patients) and penetration of the nail (eight patients). A total of 10 patients (5.9 per cent) had to be re-operated because of varus dislocation, broken plate or development of pseudarthrosis after removal of the osteosynthesis material. McLaughlin osteosynthesis is concluded to be a suitable method for the treatment of trochanteric femoral fractures--also of the unstable type.

References

Jul 1, 1972·The Journal of Trauma·R C Mulholland, D R Gunn
Apr 1, 1957·American Journal of Surgery·D K CLAWSON
Nov 1, 1958·The Journal of Bone and Joint Surgery. British Volume·J C FOSTER

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Citations

Jan 1, 1988·Archives of Orthopaedic and Trauma Surgery·A JuhnD G Mendes
Jun 20, 2012·Archives of Orthopaedic and Trauma Surgery·Ricard MiedelJan Tidermark
Mar 1, 1983·Injury·E T James, G A Hunter
Mar 1, 1985·Injury·B Paaschburg NielsenA Ebling
Sep 8, 2004·Injury·Arijit Mallick, Martyn J Parker
Aug 14, 2001·Journal of Bone and Mineral Research : the Official Journal of the American Society for Bone and Mineral Research·J PartanenP Jalovaara
Aug 22, 2008·Orthopedics·Sheldon Lichtblau
Nov 14, 2015·Journal of Orthopaedics·Ahmed H YousryAmr A Abdelgawad
Jun 6, 2014·ANZ Journal of Surgery·Ross RadicSally Burrows
Jun 1, 1980·Acta Orthopaedica Scandinavica·J S Jensen, E Tøndevold
Oct 1, 1980·Acta Orthopaedica Scandinavica·J S Jensen
Oct 1, 1980·Acta Orthopaedica Scandinavica·J S JensenS Sonne-Holm
Oct 1, 1980·Acta Orthopaedica Scandinavica·J S Jensen, S Sonne-Holm
Dec 1, 1980·Acta Orthopaedica Scandinavica·J S JensenE Tøndevold
Feb 1, 1978·Acta Orthopaedica Scandinavica·J Puranen, E Koivisto
Feb 1, 1985·Acta Orthopaedica Scandinavica·C ZetterbergG B Andersson
Jan 18, 2014·Orthopaedics & Traumatology, Surgery & Research : OTSR·P Adam
Dec 24, 2008·Journal of Orthopaedic Trauma·Wilhelmina EkströmJan Tidermark
Jul 25, 2019·Journal of Orthopaedic Trauma·Michael J RicciWilliam M Ricci

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