Proximal screws placement in intertrochanteric fractures treated with external fixation: comparison of two different techniques

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dc.contributor.authorVekris, M. D.en
dc.contributor.authorLykissas, M. G.en
dc.contributor.authorManoudis, G.en
dc.contributor.authorMavrodontidis, A. N.en
dc.contributor.authorPapageorgiou, C. D.en
dc.contributor.authorKorompilias, A. V.en
dc.contributor.authorKostas-Agnantis, I. P.en
dc.contributor.authorBeris, A. E.en
dc.date.accessioned2015-11-24T18:55:47Z
dc.date.available2015-11-24T18:55:47Z
dc.identifier.issn1749-799X-
dc.identifier.urihttps://olympias.lib.uoi.gr/jspui/handle/123456789/18928
dc.rightsDefault Licence-
dc.subjectAgeden
dc.subjectAged, 80 and overen
dc.subjectBlood Loss, Surgicalen
dc.subject*Bone Screwsen
dc.subject*External Fixatorsen
dc.subjectFemaleen
dc.subjectFollow-Up Studiesen
dc.subjectFracture Fixation/*instrumentation/*methodsen
dc.subjectFracture Healing/physiologyen
dc.subjectHip Fractures/physiopathology/*surgeryen
dc.subjectHip Joint/physiology/radiography/surgeryen
dc.subjectHumansen
dc.subjectMaleen
dc.subjectProspective Studiesen
dc.subjectRange of Motion, Articular/physiologyen
dc.subjectTime Factorsen
dc.subjectTreatment Outcomeen
dc.titleProximal screws placement in intertrochanteric fractures treated with external fixation: comparison of two different techniquesen
heal.abstractBACKGROUND: To compare two different techniques of proximal pin placement for the treatment of intertrochanteric fractures in elderly patients utilizing the Orthofix Pertrochanteric Fixator. METHODS: Seventy elderly high-risk patients with an average age of 81 years were treated surgically for intertrochanteric fracture, resulting from a low energy trauma. Patients were randomly divided in two groups regarding to the proximal pin placement technique. In Group A the proximal pins were inserted in a convergent way, while in Group B were inserted in parallel. RESULTS: All fractures healed uneventfully after a mean time of 98 days. The fixator was well accepted and no patient had significant difficulties while sitting or lying. The mean VAS score was 5.4 in group A and 5.7 in group B. At 12 months after surgery, in group A the average Harris Hip Score and the Palmer and Parker mobility score was 67 and 5.8, respectively. In group B, the average Harris Hip Score and the Palmer and Parker mobility score was 62 and 5.6, respectively. No statistically significant difference was found regarding the functional outcome. The mean radiographic exposure during pin insertion in Group A and Group B was 15 and 6 seconds, respectively. The difference between the two groups, regarding the radiographic exposure, was found to be significant. CONCLUSION: Proximal screw placement in a parallel way is simple, with significant less radiation exposure and shorter intraoperative duration. In addition, fixation stability is equal compared to convergent pin placement.en
heal.accesscampus-
heal.fullTextAvailabilityTRUE-
heal.identifier.primary10.1186/1749-799X-6-48-
heal.identifier.secondaryhttp://www.ncbi.nlm.nih.gov/pubmed/21939534-
heal.identifier.secondaryhttp://www.josr-online.com/content/pdf/1749-799X-6-48.pdf-
heal.journalNameJ Orthop Surg Resen
heal.journalTypepeer-reviewed-
heal.languageen-
heal.publicationDate2011-
heal.recordProviderΠανεπιστήμιο Ιωαννίνων. Σχολή Επιστημών Υγείας. Τμήμα Ιατρικήςel
heal.typejournalArticle-
heal.type.elΆρθρο Περιοδικούel
heal.type.enJournal articleen

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