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A novel technique for the fixation of inter-trochantieric hip fractures: A telescoping lag screw

机译:一种固定股骨粗隆间髋部骨折的新技术:伸缩式拉力螺钉

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摘要

One-hundred and three patients with intertrochanteric hip fractures as classified by the OTA 2007 system underwent fixation using the telescoping AOS Galileo lag screw system and ES Nail (a long IM nail). Thirty-one patients (76%) were female and ten (24%) were male, with an average age of 75.70 ± 11.3 years at date of surgery. At final follow-up 21 (53%) patients returned to their pre-fracture ambulatory status, 20 (47%) had a reduction in ambulatory status, and no patients were confined to a wheel chair. The telescoping capability of the AOS Galileo lag screw allowed for a decrease in total length by 3.96 ± 3.04 mm during fracture healing. The TAD distance at final follow-up was 14.09 ± 4.69 mm. Lateral protrusion of the lag screw into soft tissue did not occur. There was one reported incidence of femoral head cutout, which occurred after the lag screw had telescoped its entire distance and began functioning as a rigid non-compressible lag screw. All other fractures healed uneventfully and no device failure occurred. The AOS Galileo telescoping lag screw has shown promise concerning IT fracture fixation and will continue to undergo further investigation.
机译:根据OTA 2007系统分类的130例股骨粗隆间髋关节骨折患者使用伸缩式AOS Galileo乳头螺钉系统和ES Nail(长IM钉)进行固定。手术时平均年龄为75.70±11.3岁,其中女性31例(76%),男性10例(24%)。在最后的随访中,有21例(53%)患者恢复了骨折前的非卧床状态,其中20例(47%)的非卧床状态下降了,没有患者被限制在轮椅上。在骨折愈合过程中,AOS Galileo落尾螺钉的伸缩能力使总长度减少了3.96±3.04 mm。最后一次随访的TAD距离为14.09±4.69mm。没有发生方头螺钉向软组织的侧向突出。据报道,发生一股股骨头切开的发生,其发生在拉力螺钉将其整个距离伸缩并开始起刚性不可压缩拉力螺钉的作用。其他所有骨折均愈合良好,没有发生设备故障。 AOS Galileo伸缩式方头螺钉已显示出与IT骨折固定有关的希望,并将继续进行进一步的研究。

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