Injury
Volume 41, Issue 4 , Pages 348-351, April 2010

Internal fixation of intracapsular hip fractures with a dynamic locking plate: Initial experience and results for 83 patients treated with a new implant

  • Martyn J. Parker

      Affiliations

    • Peterborough & Stamford NHS Foundation Trust, Peterborough District Hospital, Thorpe Road, Peterborough, PE3 6DA, UK
    • Corresponding Author InformationCorresponding author. Tel.: +44 01733 874000; fax: +44 01733 875013.
  • ,
  • Hans-Werner Stedtfeld

      Affiliations

    • Department for Trauma and Orthopaedic Surgery, Klinikum Nuremberg, 90471 Nuremberg, Germany

Accepted 3 September 2009.

Abstract 

The results of treatment for 83 patients treated with a new implant designed specifically for the internal fixation of intracapsular hip fractures are reported. Nonunion occurred in one out of the 37 undisplaced fractures (3%) and seven out of the 46 displaced fractures (15%). In addition, four patients developed avascular necrosis (5%), one developed a fracture around the distal screws and another developed deep wound infection. The functional recovery at patients at 1 year was excellent. The results to date for this new implant suggest that it may lead to reduced fracture-healing complications in comparison to the currently used methods of internal fixation.

Keywords: Hip fracture, Internal fixation, Intracapsular fracture

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PII: S0020-1383(09)00474-4

doi:10.1016/j.injury.2009.09.004

Injury
Volume 41, Issue 4 , Pages 348-351, April 2010