Abstract
Objective: To assess the effectiveness of fixation of #intertrochantericfracture in #geriatric high risk patients by #Ilizarovfixator.
Background: Internal fixation of intertrochanteric fractures in patients with anaesthetic or surgical risks has high complication rate, so
external fixation should be considered as a semiconservative method to reduce operative time and complications.
Patients and methods: Forty elderly high risk patients with
intertrochanteric fracture were treated by Ilizarov fixator. All
patients had
uncontrolled concomitant medical disorders as hypertension, cardiac
disease, #diabetesmellitus and #chronichepatic or #renalfailure.
Results: All patients were evaluated clinically &
radiologically from 5 months to 12 months except 2 patients , one died 3
months post
operative and the other lost follow up 3.5 month post operative after
fixator removal. Excellent and good (satisfactory) results were found in
32 patients and fair and poor (unsatisfactory) results were found in 8
patients. The time of #radiologicalunion and fixator removal ranged from
10 weeks to 16 weeks. Pin tract infection occurred in all patients.
Varus #malalignment occurred in 20% of patients. Shortening ranged from 0
to 3 cm in 5 patients.
https://biomedres.us/abstracts/BJSTR.MS.ID.000688.php
https://biomedres.us/pdfs/BJSTR.MS.ID.000688.pdf
https://biomedres.us/fulltexts/BJSTR.MS.ID.000688.php
Ilizarov Fixator in Treatment of #Intertrochanteric Fracture Femur in #Geriatric High Risk Patients by Ahmed Ibrahim Zayda in BJSTR
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