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Abstract
Seventy unstable intertrochanteric fractures (Kyle III) were treated by Sarmiento
valgus osteotomy, fixation with a sliding hip-screw and plate, and augmentation of
the posteromedial upper femoral defect with acrylic cement. Immediate full weight
bearing walking was started after the operation. Forty-two patients were followed
up for more than 1 year (average 21.4 months). Excellent or good results were obtained
in 71.4 per cent. However, there was mechanical failure in which the hip screw cut
out of the femoral head superolaterally in 8.6 per cent. Comparison was made between
the results of the present technique and our previously reported technique which consisted
of Dimon-Hughston medial displacement osteotomy, fixation with sliding hip screw and
acrylic cement augmentation to the upper posteromedial femoral defect. It was found
that the result of the latter technique is slightly better, probably because of the
more rigid reduction.
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References
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Article info
Publication history
Accepted:
March 24,
1987
Identification
Copyright
© 1987 Published by Elsevier Inc.
