Complications Relating to Accuracy of Reduction of Intertrochanteric Fractures Treated with a Compressive Hip Screw
Autor(a) principal: | |
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Data de Publicação: | 2010 |
Outros Autores: | , , , |
Tipo de documento: | Artigo |
Idioma: | eng |
Título da fonte: | Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) |
Texto Completo: | http://hdl.handle.net/10400.17/2979 |
Resumo: | Intertrochanteric fracture is the most frequent type of fracture in the proximal femur and the compressive hip screw is one of the most popular methods of treatment. The reduction criteria for this type of fracture are ill-defined. The purpose of this study was to validate 3 reduction criteria: displacement, alignment in the anteroposterior and in the lateral plane. We reviewed a cohort of 430 intertrochanteric fractures treated with a compression hip screw. The type of fracture, quality of reduction and technical complications were noted. We observed a relationship between accuracy of reduction and the incidence of complications, even among fractures of the same severity. A displacement bigger than 4mm and failure to accomplish correct alignment (a neck-shaft angle over 125 masculine and less than 20 degrees angulation on the lateral view) was considered a poor reduction and was associated with more complications. |
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Complications Relating to Accuracy of Reduction of Intertrochanteric Fractures Treated with a Compressive Hip ScrewAgedAged, 80 and overBiomechanical PhenomenaBone ScrewsFemaleFracture Fixation, InternalFractures, MalunitedHip FracturesHumansMaleMiddle AgedRadiographyRetrospective StudiesHCC ORTIntertrochanteric fracture is the most frequent type of fracture in the proximal femur and the compressive hip screw is one of the most popular methods of treatment. The reduction criteria for this type of fracture are ill-defined. The purpose of this study was to validate 3 reduction criteria: displacement, alignment in the anteroposterior and in the lateral plane. We reviewed a cohort of 430 intertrochanteric fractures treated with a compression hip screw. The type of fracture, quality of reduction and technical complications were noted. We observed a relationship between accuracy of reduction and the incidence of complications, even among fractures of the same severity. A displacement bigger than 4mm and failure to accomplish correct alignment (a neck-shaft angle over 125 masculine and less than 20 degrees angulation on the lateral view) was considered a poor reduction and was associated with more complications.WichtigRepositório do Centro Hospitalar Universitário de Lisboa Central, EPEGuerra Pinto, FDantas, PMoreira, RMamede, RAmaral, L2018-05-22T15:41:43Z20102010-01-01T00:00:00Zinfo:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/articleapplication/pdfhttp://hdl.handle.net/10400.17/2979engHip Int. 2010 Apr-Jun;20(2):221-8.info:eu-repo/semantics/openAccessreponame:Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)instname:Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãoinstacron:RCAAP2023-03-10T09:40:37Zoai:repositorio.chlc.min-saude.pt:10400.17/2979Portal AgregadorONGhttps://www.rcaap.pt/oai/openaireopendoar:71602024-03-19T17:20:17.775154Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) - Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãofalse |
dc.title.none.fl_str_mv |
Complications Relating to Accuracy of Reduction of Intertrochanteric Fractures Treated with a Compressive Hip Screw |
title |
Complications Relating to Accuracy of Reduction of Intertrochanteric Fractures Treated with a Compressive Hip Screw |
spellingShingle |
Complications Relating to Accuracy of Reduction of Intertrochanteric Fractures Treated with a Compressive Hip Screw Guerra Pinto, F Aged Aged, 80 and over Biomechanical Phenomena Bone Screws Female Fracture Fixation, Internal Fractures, Malunited Hip Fractures Humans Male Middle Aged Radiography Retrospective Studies HCC ORT |
title_short |
Complications Relating to Accuracy of Reduction of Intertrochanteric Fractures Treated with a Compressive Hip Screw |
title_full |
Complications Relating to Accuracy of Reduction of Intertrochanteric Fractures Treated with a Compressive Hip Screw |
title_fullStr |
Complications Relating to Accuracy of Reduction of Intertrochanteric Fractures Treated with a Compressive Hip Screw |
title_full_unstemmed |
Complications Relating to Accuracy of Reduction of Intertrochanteric Fractures Treated with a Compressive Hip Screw |
title_sort |
Complications Relating to Accuracy of Reduction of Intertrochanteric Fractures Treated with a Compressive Hip Screw |
author |
Guerra Pinto, F |
author_facet |
Guerra Pinto, F Dantas, P Moreira, R Mamede, R Amaral, L |
author_role |
author |
author2 |
Dantas, P Moreira, R Mamede, R Amaral, L |
author2_role |
author author author author |
dc.contributor.none.fl_str_mv |
Repositório do Centro Hospitalar Universitário de Lisboa Central, EPE |
dc.contributor.author.fl_str_mv |
Guerra Pinto, F Dantas, P Moreira, R Mamede, R Amaral, L |
dc.subject.por.fl_str_mv |
Aged Aged, 80 and over Biomechanical Phenomena Bone Screws Female Fracture Fixation, Internal Fractures, Malunited Hip Fractures Humans Male Middle Aged Radiography Retrospective Studies HCC ORT |
topic |
Aged Aged, 80 and over Biomechanical Phenomena Bone Screws Female Fracture Fixation, Internal Fractures, Malunited Hip Fractures Humans Male Middle Aged Radiography Retrospective Studies HCC ORT |
description |
Intertrochanteric fracture is the most frequent type of fracture in the proximal femur and the compressive hip screw is one of the most popular methods of treatment. The reduction criteria for this type of fracture are ill-defined. The purpose of this study was to validate 3 reduction criteria: displacement, alignment in the anteroposterior and in the lateral plane. We reviewed a cohort of 430 intertrochanteric fractures treated with a compression hip screw. The type of fracture, quality of reduction and technical complications were noted. We observed a relationship between accuracy of reduction and the incidence of complications, even among fractures of the same severity. A displacement bigger than 4mm and failure to accomplish correct alignment (a neck-shaft angle over 125 masculine and less than 20 degrees angulation on the lateral view) was considered a poor reduction and was associated with more complications. |
publishDate |
2010 |
dc.date.none.fl_str_mv |
2010 2010-01-01T00:00:00Z 2018-05-22T15:41:43Z |
dc.type.status.fl_str_mv |
info:eu-repo/semantics/publishedVersion |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article |
format |
article |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
http://hdl.handle.net/10400.17/2979 |
url |
http://hdl.handle.net/10400.17/2979 |
dc.language.iso.fl_str_mv |
eng |
language |
eng |
dc.relation.none.fl_str_mv |
Hip Int. 2010 Apr-Jun;20(2):221-8. |
dc.rights.driver.fl_str_mv |
info:eu-repo/semantics/openAccess |
eu_rights_str_mv |
openAccess |
dc.format.none.fl_str_mv |
application/pdf |
dc.publisher.none.fl_str_mv |
Wichtig |
publisher.none.fl_str_mv |
Wichtig |
dc.source.none.fl_str_mv |
reponame:Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) instname:Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação instacron:RCAAP |
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Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação |
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RCAAP |
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RCAAP |
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Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) |
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Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) |
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Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) - Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação |
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1799131298833367040 |