Advertisement
Research Article| Volume 41, ISSUE 4, P348-351, 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

      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

      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 access
      One-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 Injury
      Already a print subscriber? Claim online access
      Already an online subscriber? Sign in
      Institutional Access: Sign in to ScienceDirect

      References

        • Charnley J.
        The long-term results of low-friction arthroplasty of the hip performed as a primary intervention.
        J Bone Joint Surg Br. 1972; 54-B: 61-76
        • Conn K.S.
        • Parker M.J.
        Undisplaced intracapsular hip fracture: results of internal fixation in 375 patients.
        Clin Orthop. 2004; 421: 249-254
        • Kristensen M.T.
        • Bandholm T.
        • Foss N.B.
        • et al.
        High inter-tester reliability of the new mobility score in patients with hip fracture.
        J Rehabil Med. 2008; 40: 589-591
        • Lu-yao G.L.
        • Keller R.B.
        • Littenberg B.
        • Wennberg J.E.
        Outcomes after displaced fractures of the femoral neck: a meta-analysis of one hundred and six published reports.
        J Bone Joint Surg Am. 1994; 76-A: 15-25
        • Parker M.J.
        • Palmer C.R.
        A new mobility score for predicting mortality after hip fracture.
        J Bone Joint Surg Br. 1993; 75: 797-798
        • Parker M.J.
        • Stockton G.
        • Gurusamy K.
        Internal fixation implants for intracapsular proximal femoral fractures in adults (Cochrane Review).
        The Cochrane Library, Issue 4. Wiley, Chichester2001
        • Pynsent P.B.
        • Fairbank J.C.T.
        • Carr A.J.
        Classification of musculo-skeletal trauma.
        Butterworth-Heinemann Publications, Oxford1999 ([Chapter 15; 186–93])
        • Smith-Petersen M.N.
        • Cave E.F.
        • Van Gorder G.W.
        Intracapsular fractures of the neck of the femur. Treatment of internal fixation.
        Arch Surg. 1931; 23: 715-759
        • Tronzo R.G.
        Hip nails for all occasions.
        Orthop Clin North Am. 1974; 5: 479-491