External fixation of “intertrochanteric” fractures
In developing countries, due to limited availability of modern anesthesia and overcrowding of the hospitals with patients who need surgery, high-risk patients with “intertro-chanteric” fractures remain unsuitable for open reduction and internal fixation. The aim of this study was to analyze the resu...
| Main Authors: | , , , , , , , , |
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| Format: | Article |
| Language: | English |
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Open Medical Publishing
2009-08-01
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| Series: | Orthopedic Reviews |
| Subjects: | |
| Online Access: | http://www.pagepress.org/journals/index.php/or/article/view/148 |
| _version_ | 1818600167690993664 |
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| author | Naseem ul Gani Khursheed Ahmed Kangoo Arshad Bashir Rahil Muzzafer Mohammad Farooq Bhat Munir Farooq Abdul Rashid Badoo Imtiyaz Hussian Dar Mudassir Maqbool Wani |
| author_facet | Naseem ul Gani Khursheed Ahmed Kangoo Arshad Bashir Rahil Muzzafer Mohammad Farooq Bhat Munir Farooq Abdul Rashid Badoo Imtiyaz Hussian Dar Mudassir Maqbool Wani |
| author_sort | Naseem ul Gani |
| collection | DOAJ |
| description | In developing countries, due to limited availability of modern anesthesia and overcrowding of the hospitals with patients who need surgery, high-risk patients with “intertro-chanteric” fractures remain unsuitable for open reduction and internal fixation. The aim of this study was to analyze the results of external fixation of “intertro-chanteric” fractures in high-risk geriatric patients in a developing country. The results of 62 ambulatory high-risk geriatric patients with a mean age of 70 years (range 58-90 years) with “intertrochanteric” fractures, in whom external fixation was performed, are reported. Eight patients died during follow-up due to medical causes unrelated to the surgical procedure. So only 54 patients were available for final assessment. Procedure is simple, performed under local anesthesia, requires less time for surgery and is associated with less blood loss. Good fixation and early ambulation was achieved in most of the patients. Average time to union was 14 weeks. Thirty-one patients developed superficial pin tract infection and 28 patients had average shortening of 15 mm due to impaction and varus angulation. Functional outcome was assessed using Judet’s point system. Good to excellent results were achieved in 44 patients. This study demonstrated that external fixation of “intertrochantric” fractures performed under local anesthesia offers significant advantage in ambulatory high-risk geriatric patients especially in a developing country. |
| first_indexed | 2024-12-16T12:31:11Z |
| format | Article |
| id | doaj.art-b1aaeb5e225a4e9eb42a164b5daa9632 |
| institution | Directory Open Access Journal |
| issn | 2035-8237 2035-8164 |
| language | English |
| last_indexed | 2024-12-16T12:31:11Z |
| publishDate | 2009-08-01 |
| publisher | Open Medical Publishing |
| record_format | Article |
| series | Orthopedic Reviews |
| spelling | doaj.art-b1aaeb5e225a4e9eb42a164b5daa96322022-12-21T22:31:42ZengOpen Medical PublishingOrthopedic Reviews2035-82372035-81642009-08-0112e18e1810.4081/or.2009.e18871External fixation of “intertrochanteric” fracturesNaseem ul Gani0Khursheed Ahmed KangooArshad BashirRahil MuzzaferMohammad Farooq BhatMunir FarooqAbdul Rashid BadooImtiyaz Hussian DarMudassir Maqbool WaniGovt Hospital for bone and joint surgery,Barzullah,Srinagar,J&K, IndiaIn developing countries, due to limited availability of modern anesthesia and overcrowding of the hospitals with patients who need surgery, high-risk patients with “intertro-chanteric” fractures remain unsuitable for open reduction and internal fixation. The aim of this study was to analyze the results of external fixation of “intertro-chanteric” fractures in high-risk geriatric patients in a developing country. The results of 62 ambulatory high-risk geriatric patients with a mean age of 70 years (range 58-90 years) with “intertrochanteric” fractures, in whom external fixation was performed, are reported. Eight patients died during follow-up due to medical causes unrelated to the surgical procedure. So only 54 patients were available for final assessment. Procedure is simple, performed under local anesthesia, requires less time for surgery and is associated with less blood loss. Good fixation and early ambulation was achieved in most of the patients. Average time to union was 14 weeks. Thirty-one patients developed superficial pin tract infection and 28 patients had average shortening of 15 mm due to impaction and varus angulation. Functional outcome was assessed using Judet’s point system. Good to excellent results were achieved in 44 patients. This study demonstrated that external fixation of “intertrochantric” fractures performed under local anesthesia offers significant advantage in ambulatory high-risk geriatric patients especially in a developing country.http://www.pagepress.org/journals/index.php/or/article/view/148External Fixationintertrochantric fractureGeriatric Patients |
| spellingShingle | Naseem ul Gani Khursheed Ahmed Kangoo Arshad Bashir Rahil Muzzafer Mohammad Farooq Bhat Munir Farooq Abdul Rashid Badoo Imtiyaz Hussian Dar Mudassir Maqbool Wani External fixation of “intertrochanteric” fractures Orthopedic Reviews External Fixation intertrochantric fracture Geriatric Patients |
| title | External fixation of “intertrochanteric” fractures |
| title_full | External fixation of “intertrochanteric” fractures |
| title_fullStr | External fixation of “intertrochanteric” fractures |
| title_full_unstemmed | External fixation of “intertrochanteric” fractures |
| title_short | External fixation of “intertrochanteric” fractures |
| title_sort | external fixation of intertrochanteric fractures |
| topic | External Fixation intertrochantric fracture Geriatric Patients |
| url | http://www.pagepress.org/journals/index.php/or/article/view/148 |
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