Abstracts Posters SICOT-SOF meeting Gothenburg 2010 _2_

Poster
Topic: Trauma - Hip
Abstract number: 26525
TREATMENT OF TROCHANTERIC FRACTURES ACCORDING TO AO
CLASSIFICATION OF FRACTURES
GHEORGHE TOMOAIA 1 , HOREA BENEA 1 , ALAIN MOULUCOU 2
1 Orthopaedics and Traumatology Clinic, Cluj-Napoca (ROMANIA), 2 Orthopaedics
Department, Hospital of Cayenne, CAYENNE (FRENCH GUIANA)
This article is intended to be an analysis of our experience in the treatment of
trochanteric fractures according to AO classification of fractures and based on the
latest data available in literature.Trochanteric fractures represent a special problem in
the traumatic pathology of the hip, due to their increased prevalence and multiple
immediate and late complications that can occur.The objectives of treatment are
mobilization with early weight bearing and consolidation, which are achieved by
means of rigid internal fixationThe new internal fixation devices currently used in
practice are preferred for their efficiency and precise implantation techniques at the
fracture point. Technical problems concern the insertion of the implant and
maintenance of the stability of internal fixation after fracture reduction, especially in
osteoporotic bones.We conducted a clinical retrospective study on a group of
patients with trochanteric fractures that had undergone surgery in our clinic between
2006 and 2009.The results were appreciated according to fracture reduction, implant
type and stability, consolidation period, possibility of walking and standing on the
affected limb.We suggest the utilization of AO Classification of Fractures in order to
obtain the adequate implant indication for trochanteric fractures treatment. For
example, an A1 fracture would be better treated by a dynamic screw (DHS), while a
comminuted and unstable A2 or A3 type of fracture requires an intramedullary
fixation device (like Gamma Nail).
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