Minimally invasive management of unstable proximal femoral extracapsular fractures using reverse LISS femoral locking plates


Ozkaya U., Bilgili F., Kilic A., Parmaksizoglu A. S., Kabukcuoglu Y.

HIP INTERNATIONAL, cilt.19, sa.2, ss.141-147, 2009 (SCI-Expanded) identifier identifier identifier

  • Yayın Türü: Makale / Tam Makale
  • Cilt numarası: 19 Sayı: 2
  • Basım Tarihi: 2009
  • Doi Numarası: 10.1177/112070000901900211
  • Dergi Adı: HIP INTERNATIONAL
  • Derginin Tarandığı İndeksler: Science Citation Index Expanded (SCI-EXPANDED), Scopus
  • Sayfa Sayıları: ss.141-147
  • Anahtar Kelimeler: Less-invasive stabilization system (LISS), Minimally invasive osteosynthesis, Proximal femur, Functional outcome, Bone plates, Fracture fixation, DYNAMIC HIP SCREW, INTERTROCHANTERIC FRACTURES, INTRAMEDULLARY NAIL, GAMMA-NAIL, FIXATION
  • İstanbul Üniversitesi Adresli: Evet

Özet

The efficacy of the reverse Less Invasive Plating System in the management of unstable proximal femoral extracapsular fractures was retrospectively evaluated. Twenty-seven patients with complex proximal femoral fractures were identified. There were three open fractures. The mean age was 71 years (range; 65-79). The mean follow up was 24 months (range; 15-32). The main outcome measures were union, union time, requirement for secondary procedures, development of deep infection, pain, and functional impairment. Nonunion was observed in one patient. The average Harris hip score at the last assessment was 73 points (range 58-85). The outcome was adversely affected by concomitant medical problems, anatomical reduction and fixation of the plate. The use of this plate in the management of proximal femoral fractures of all types may be a safe and alternative method to other treatment options. (Hip International 2009; 19: 141-7)