Abstract
ABSTRACT Introduction: the number of hip fractures is estimated to increase from 1.66 million in 1990 to 6.26 million by 2050. Internal fixation is the most common surgical treatment for intertrochanteric fractures. Objectives: the objective of the present research is to describe a minimally invasive technique with a modified instrument for the treatment of stable proximal femoral trochanteric fractures using the standard DHS, classified as Tronzo types 1 and 2 (AO 31A1.2), and presenting a case series. Methods: a case was selected to present the technique. Patients operated by this technique undergo a clinical evaluation and preoperative preparation as routine. The criteria for inclusion in the study were the presence of stable fracture of the proximal femur verified by two hip specialist orthopedists, and operated by the minimally invasive technique with a modified instrument using a standard DHS. Exclusion criteria were cases of patients operated for unstable fractures, and the use of other surgical techniques. A case series of 98 patients was performed and discussed. Results: minimally invasive technique with a modified instrument using the standard DHS device can reduce bleeding, it decreases soft tissue injuries, surgical time, and hospital stay, as any other MIPO procedures. Ninety-eight patients underwent the operation (Tronzo types I and II), 59 female and 39 male, ages from 50 to 85 years old. Immediate post-operative complications were shortening of the lower limb, loss of fracture reduction, and death by clinical complications. Conclusion: the present study describes a minimally invasive surgical technique using a modified instrument to perform proximal femoral osteosynthesis for stable trochanteric fractures, using the standard DHS.
Highlights
The risk of hip fracture is high, ranging from 40% to 50% in women over 60, and 13% to 22% in men
The present study aims to describe a surgical procedure for the osteosynthesis of proximal femoral fractures using a standard DHS with a minimally invasive technique with a modified instrument (135-degree retractable guide)
The present study describes a minimally invasive technique using a modified instrument for the treatment of stable proximal femoral trochanteric fractures using a standard DHS, classified as Tronzo types I and II (AO 31A1.2)
Summary
The risk of hip fracture is high, ranging from 40% to 50% in women over 60, and 13% to 22% in men. With life expectancy increasing worldwide, and due to these demographic changes, the number of hip fractures is estimated to increase from 1.66 million in 1990 to 6.26 million by 20501,2. The estimated annual cost of treating these fractures is enormous and represents a significant burden on any health system[1]. Internal fixation is the most common surgical treatment for intertrochanteric fractures[3]. The choice between intramedullary or extramedullary devices (plates and screws or dynamic hip screw - DHS) is the most commonly used technique. The immediate benefit of surgical treatment is pain relief, rapid mobilization, accelerated rehabilitation and the maintenance of an independent patient life style[4]
Sign-in/Register to view highlights & summary Talk to us
Join us for a 30 min session where you can share your feedback and ask us any queries you have
Schedule a callDisclaimer: All third-party content on this website/platform is and will remain the property of their respective owners and is provided on "as is" basis without any warranties, express or implied. Use of third-party content does not indicate any affiliation, sponsorship with or endorsement by them. Any references to third-party content is to identify the corresponding services and shall be considered fair use under The CopyrightLaw.
