Acta chirurgiae orthopaedicae
et traumatologiae Čechoslovaca

Acta Chir Orthop Traumatol Cech. 2021; 88(3):196-203 | DOI: 10.55095/achot2021/031

Laterální zamčená dlaha proximálního femuru vs. krátký proximální femorální hřeb pro léčení AO/OTA 31 A3 intertrochanterických zlomenin: retrospektivní klinická studiePůvodní práce

M. S. SÖYLEMEZ^1,*, F. FIDAN², A. POLAT², C. KAZDAL², A. KURTAN²

¹ Health Sciences University, Umraniye Training and Research Hospital, Department of Orthopaedics and Traumatology, Istanbul, Turkey

² Gaziosmanpaşa Taksim Training and Research Hospital, Department of Orthopaedics and Traumatology, Istanbul, Turkey

PURPOSE OF THE STUDY:
In this study we aimed to investigate the clinical and radiographic results of AO/OTA 31 A3 fractures operated on with either a proximal femoral lateral locking plate or short cephalomedullary nails.

MATERIAL AND METHODS: /RESULTS
Medical data of patients treated with either implant were evaluated retrospectively. Patients > 55 years old sustaining an AO 31 A3 type fracture with a minimum follow-up of one year from two institutions were included in the study.

RESULTS:
In all, 22 patients in the plate group and 30 patients in the nail group were included. All patients achieved union excluding the patients with failure. No significant differences in the mean duration of surgery, pre- and postoperative hemoglobin levels, duration of union time, or need for an open reduction or revision surgery were observed between the two groups. Reduction quality was better in the nail group. Failure of fixation was detected in three patients in the plate group and in four patients in the nail group. The duration of hospital stay was longer in the plate group than the nail group (p = 0.007). Time to independent mobilization was significantly shorter in the nail group than the plate group (p = 0.027). The Harris hip score results were similar between the groups after one year (p = 0.479).

CONCLUSIONS:
Both implants had similar radiographic and clinical outcomes treat 31 A3 intertrochanteric fractures if the lateral wall of the proximal fragment was intact and anatomical medial-posteromedial restoration of the fracture is performed. Although complication rates were similar between the two groups, nails enabled early mobilization of patients.

Klíčová slova: intertrochanteric, 31 A3 fracture, fixation, PFLP, nail

Zveřejněno: 15. červen 2021  Zobrazit citaci