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KMID : 0386720050170020065
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Journal of the Korean Hip Society
2005 Volume.17 No. 2 p.65 ~ p.69
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Treatment of Subtrochanteric Fractures of the Femur with a Condylar Blade Plate
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Kim Hong-Tae
Cho Young-Ho
Byun Young-Soo
Kim Ji-Hwan
Bang Hoon-Ho
Nam Seung-Oh
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Abstract
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Purpose: To evaluate the effectiveness of absolutely stable fixation with a condylar blade plate for simple and wedge fractures of the subtrochanteric femur.
Materials and Methods: Between January 1998 and December 2003, 14 cases of subtrochanteric fractures (AO classification, 10 type A and 4 type B) were treated with absolutely stable fixation using a condylar blade plate. The operation time, amounts of blood loss and transfused, time of fracture healing, function of the hip and complications related with surgery were analyzed.
Results: The average operation time was 126 minute (range, 90 to 200 minutes). The amount of blood loss was average 534 cc (range, 80 to 1000 cc), and 11 patients were transfused with 2 to 3 pints of packed red cells during the operation for a subtrochanteric fracture. All fractures were united in an average of 13.5 weeks (range, 10 to 20 weeks). The recovery of hip motion was satisfactory in all patients, within a 10-degree loss of motion. There were no delayed union or nonunion, infection, axial or rotational malalignment and leg length discrepancy.
Conclusion: Although condylar blade plate fixation is a technically demanding procedure, absolutely stable fixation with a condylar blade plate is a reliable method for obtaining good results in simple and wedge fractures of the subtrochanteric femur.
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KEYWORD
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Femur, Subtrochanteric fracture, Condylar blade plate
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