This paper is only available as a PDF. To read, Please Download here.
Abstract
Eighty-seven pertrochanteric fractures consecutively treated between the years 1978
and 1981 are reviewed. External and internal rotation types are described relative
to their aetiology. The final typing of the fracture can be made only on reduction.
What we have called ‘internal rotation fractures’ show an excellent correlation with
the unstable fracture gradings described by Boyd, as well as very osteoporotic Singh
gradings (1–3). It is contended that the latter is the main factor in its production
as opposed to the more common external rotation variety. An appeal is made for recognition
of the fracture, its reduction by means of external rotation and adequate fixation.
Early weight bearing is not advised, in order to prevent subsequent varus deformity
with extrusion of the implant.
To read this article in full you will need to make a payment
Purchase one-time access:
Academic & Personal: 24 hour online accessCorporate R&D Professionals: 24 hour online accessOne-time access price info
- For academic or personal research use, select 'Academic and Personal'
- For corporate R&D use, select 'Corporate R&D Professionals'
Subscribe:
Subscribe to InjuryAlready a print subscriber? Claim online access
Already an online subscriber? Sign in
Register: Create an account
Institutional Access: Sign in to ScienceDirect
References
- Management of unstable trochanteric fractures.Surg. Gynecol. Obstet. 1961; 112: 633
- Classification and treatment of trochanteric fractures.Arch. Surg. 1949; 58: 853
- The treatment of trochanteric fractures of the femur.J. Bone Joint Surg. 1949; 31B: 190
- The mechanism, traumatic anatomy, and non-operative treatment of intertrochanteric fractures of the femur.Br. J. Surg. 1964; 51: 574
- The treatment of intertrochanteric fractures—a review article.Injury. 1983; 14: 421
- Extracapsular fractures of the hip treated by impaction using a sliding nail plate fixation.Clin. Orthop. 1962; 22: 180
- Displacements of trochanteric fractures and their influence on reduction.J. Bone Joint Surg. 1968; 50B: 318
- Trochanteric fractures.South. Med. J. 1941; 34: 571
- Changes in the trabecular pattern of the femur as an index of osteoporosis.J. Bone Joint Surg. 1970; 52A: 457
Article info
Publication history
Accepted:
April 2,
1986
Identification
Copyright
© 1987 Published by Elsevier Inc.
