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首页> 外文期刊>Open Journal of Urology >Trochanteric Buttress Plate Combined with Proximal Femoral Nail for Unstable Intertrochanteric Fractures. [Innovative Technique]
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Trochanteric Buttress Plate Combined with Proximal Femoral Nail for Unstable Intertrochanteric Fractures. [Innovative Technique]

机译：股骨转子间支撑板结合股骨近端钉治疗不稳定的股骨粗隆间骨折。 [创新技术]

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Introduction: Proximal femoral nail is a better choice of implant for the treatment of an unstable trochanteric fracture, however it is associated with screw migration and cutout because of greater trochanteric comminution and coronal split. This study is to evaluate the results of Trochanteric Buttress Plate (TBP) combined with PFN in an unstable IT fractures for buttressing lateral wall and reinforcing fixation. Materials and Methods: We carried out a consecutive study of 32 patients of Unstable intertrochanteric fracture femur with lateral wall comminution. It was studied at Ashwini Sahakari Rugnalaya and Sanshodhan Kendra Solapur India and Government medical college Chandrapur India from April-2015 to December-2017 using innovative Trochanteric buttress plate along with PFN. Eighteen male and fourteen female in the age group of 55 to 80 years were included in the study. There were 26 cases of A3 and six cases of A2 were fixed by PFN combined with trochanteric buttress plate to augment the comminuted lateral wall. Results: The bone healing is observed in all the cases in the mean period of 12.6 weeks. Four patients developed complications, including lateral migration of neck screws (n = 2), superficial infection (n = 2). Patients were followed up for a mean of 10.6 months. At the end of follow-up the Salvati and Wilson hip function was 36 (out of 40) in 87.5% of patients [twenty eight patients]. The clinical, radiological and functional outcomes were found to be satisfactory. Conclusion: The stabilization of lateral trochanteric wall with trochanteric buttress plate restores anatomy, increases the stability of construct and prevents inherent complication of screw migration and cutout.
机译：引言：股骨近端钉是治疗不稳定型转子粗隆骨折的较好植入物，但由于转子粗隆粉碎和冠状裂隙较大，它与螺钉移位和切开有关。这项研究旨在评估转子间隙支撑板（TBP）与PFN联合治疗不稳定的IT骨折以支撑侧壁和加强固定的效果。 材料与方法：我们连续研究了32例不稳定型股骨转子间骨折伴侧壁粉碎的患者。 2015年4月至2017年12月，在印度Ashwini Sahakari Rugnalaya和Sanshodhan Kendra Solapur以及印度印度钱德拉布尔政府医学院研究了使用创新型转子转子支撑板和PFN进行的研究。该研究包括年龄在55至80岁之间的18位男性和14位女性。 PFN结合股骨转子支持板固定A3 26例，A2固定6例，以增加粉碎性侧壁。 结果：所有病例均在平均12.6周内观察到骨愈合。四名患者出现并发症，包括颈螺钉的侧向移动（n = 2），浅表感染（n = 2）。对患者平均随访10.6个月。随访结束时，在87.5％的患者（28例患者）中，Salvati和Wilson髋关节功能为36（40分之三）。临床，放射学和功能结果均令人满意。 结论：用转子支持板稳定转子外侧壁可恢复解剖结构，增加结构的稳定性并防止螺钉移位和切除的固有并发症。

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