[article] 
inActa Orthopaedica Belgica > Vol 80/1 (Mars 2014) . - p.26-33

Titre :	Does The Wedge Wing In The Neck Screw Prevent Cut-Out Failure In OTA/AO 31-A2 Trochanteric Fractures In Elderly Patients?
Type de document :	texte imprimé
Auteurs :	Cuneyd GUNEY, Auteur
Année de publication :	2014
Article en page(s) :	p.26-33
Langues :	Français (fre)
Résumé :	The purpose of this retrospective study was to evaluate the effects of Dyna Locking Trochanteric (DLT) nail (U & I Corporation 529-1, Yonghyun-dong, Uijungbu Kyunggi-Do, Korea 480-050) in 31-A1 and 31-A2 intertrochanteric femur fractures. Eighty-seven patients (63 female and 24 male, mean age 77 years) were treated. The mean duration of follow-up was 16.6 ± 3.1 months (range, 12-24 months). There were 36 cases of 31-A1 and 51 cases of 31-A2 fractures. The duration of surgery, fluoroscopy screening time, the blood loss, the hospital stay, the tip-apex distance were significantly less in the 31-A1 fracture group compared with the 31-A2 fracture group (p < 0.001). Cut-out was observed in 13 patients (14.9%) above 80 years old with 31-A2 fractures. Especially in elderly patients with unstable 31-A2 fractures, the wedge wing on the neck screw does not work properly. Therefore further biomechanical investigations and also prospective clinical studies with larger series are needed to improve the device.
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[article] Does The Wedge Wing In The Neck Screw Prevent Cut-Out Failure In OTA/AO 31-A2 Trochanteric Fractures In Elderly Patients? [texte imprimé] / Cuneyd GUNEY, Auteur . - 2014 . - p.26-33.
Langues : Français (fre)
in Acta Orthopaedica Belgica > Vol 80/1 (Mars 2014) . - p.26-33

Résumé :

The purpose of this retrospective study was to evaluate the effects of Dyna Locking Trochanteric (DLT) nail (U & I Corporation 529-1, Yonghyun-dong, Uijungbu Kyunggi-Do, Korea 480-050) in 31-A1 and 31-A2 intertrochanteric femur fractures. Eighty-seven patients (63 female and 24 male, mean age 77 years) were treated. The mean duration of follow-up was 16.6 ± 3.1 months (range, 12-24 months). There were 36 cases of 31-A1 and 51 cases of 31-A2 fractures. The duration of surgery, fluoroscopy screening time, the blood loss, the hospital stay, the tip-apex distance were significantly less in the 31-A1 fracture group compared with the 31-A2 fracture group (p < 0.001). Cut-out was observed in 13 patients (14.9%) above 80 years old with 31-A2 fractures. Especially in elderly patients with unstable 31-A2 fractures, the wedge wing on the neck screw does not work properly. Therefore further biomechanical investigations and also prospective clinical studies with larger series are needed to improve the device.

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