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KMID : 0386720060180040182
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Journal of the Korean Hip Society
2006 Volume.18 No. 4 p.182 ~ p.188
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Blade Plate Fixation for Failed Internal Fixation of Intertrochanteric Hip fractures
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Chang Jae-Suk
Oh Hyoung-Keun
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Abstract
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Purpose: To evaluate the results of blade plate fixation and bone grafting for the treatment of failed intertrochanteric hip fractures.
Materials and Methods: Eight patients were treated with 95°blade plate fixation and bone grafts were performed in 7 patients. The mean age of the patients was 73 years old and the mean follow-up period was 26 months (range, 6 to 65 months). Clinical and radiological results were evaluated based on pain, walking ability, union period, and maintenance of reduction.
Results: 6 of 8 patients obtained a solid union after a median period of 20 weeks. The neck-shaft angle was changed from 118°to 133°postoperatively. One patient underwent revision of a bipolar hemiarthroplasty due to failed blade plate fixation and varus malunion occurred in one patient
Conclusion: Blade plate fixation and bone grafting for failed internal fixation of intertrochanteric hip fractures can provide a solid union and a good clinical result.
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KEYWORD
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Intertrochanteric hip fracture, Nonunion, Failed internal fixation, Blade plate
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