Correct placement of the screw or nail in trochanteric fractures. Effect of the initial placement in the migration

Clin Orthop Relat Res. 1995 Apr:(313):206-13.

Abstract

This is a prospective study of 106 patients with 37 stable and 69 unstable trochanteric fractures treated with 2 different implants: a sliding screw-plate and a triflanged nail-plate. The fractures were classified according to Jensen's modification of Evans classification. The parameter migration was compared between the 2 implants and for the various areas of placement of the screw or nail within the femoral head. For stable fractures, the migration observed was independent of the area of implant placement or the type of implant used. For unstable fractures, central placement of the sliding screw resulted in a decreased mean value of migration. When the nail was used, the mean values of migration observed were independent of the areas of placement within the femoral head. In cases of central placement, the sliding screw appeared to be superior to the triflanged nail.

Publication types

  • Comparative Study

MeSH terms

  • Aged
  • Biomechanical Phenomena
  • Bone Nails*
  • Bone Plates
  • Bone Screws*
  • Equipment Design
  • Female
  • Femur Head / surgery
  • Follow-Up Studies
  • Fracture Fixation, Internal* / instrumentation
  • Fracture Fixation, Internal* / methods
  • Hip Fractures / physiopathology
  • Hip Fractures / surgery*
  • Hip Joint / physiopathology
  • Humans
  • Male
  • Prospective Studies
  • Time Factors