The versatility of the contoured AO plate as a mode of fixation for proximal femoral fractures.

Contemporary orthopaedics Pub Date : 1994-05-01
O N Nagi, K V Panikkar, M Dhillon
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Abstract

Proximal femoral fractures, especially in young adults, usually are high-energy injuries associated with severe comminution. Presently available fixation devices such as the blade plate and DHS are difficult to apply in comminuted cases, their application requires the use of an image intensifier, and their versatility is limited. This report describes the use of the AO plate molded according to the proximal femoral anatomy in 21 cases (seven subtrochanteric and 14 trochanteric fractures) in which high-energy injuries were sustained. Eleven cases were primarily bone grafted. Postoperative mobilization was started by an average of 5.4 weeks. All cases united by an average of 3.2 months. There were six excellent, ten good, three fair, and one poor result (one patient died). This method was found to be superior to conventional devices as it offers more versatility in placement of screws and plate contouring. The inventory of implants is also reduced, and there is no need for specialized instruments, a significant factor in Third World countries.

轮廓型AO钢板作为股骨近端骨折固定模式的多功能性。
股骨近端骨折,尤其是在年轻人中,通常是高能量损伤并伴有严重粉碎。目前可用的固定装置,如刀片板和DHS,很难应用于粉碎性病例,它们的应用需要使用图像增强器,而且它们的通用性有限。本报告描述了21例(7例粗隆下骨折和14例粗隆骨折)持续高能损伤的AO钢板的使用情况。11例以骨移植为主。术后平均5.4周开始活动。所有病例平均愈合时间为3.2个月。结果为优6例,良10例,一般3例,差1例(1例死亡)。这种方法被发现优于传统的设备,因为它提供了更多的多功能性在放置螺钉和板轮廓。植入物的库存也减少了,不需要专门的器械,这是第三世界国家的一个重要因素。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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