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Journals / İzmir Eğitim ve Araştırma Hastanesi Tıp Dergisi / 2018 / Cilt: 22 - Sayı: 4

THE EFFECTIVENESS OF FIXATION WITH DYNAMIC HIP SCREW- LOCKING SIDE PLATE FOR STABLE AND UNSTABLE INTERTROCHANTERIC FRACTURES OF THE HIP IN ELDERLY PATIENTS

KİLİTLİ DİNAMİK KALÇA VİDASININ STABİL VE İNSTABİL İNTERTROKANTERİK KALÇA KIRIKLI YAŞLI HASTALARDA ETKİNLİĞİNİN DEĞERLENDİRİLMESİ

Cemil KAYALI
Caner ÇİTAK
Taşkın ALTAY
Hüseyin Gökhan KARAHAN
Kamil YAMAK
Pages
159–164
Publication Date
2022-10-19
DOI
—
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AI Summary & Key Takeaways

AI Insight
⚡ TL;DR(Too Long; Didn't Read)

Thedynamic side-plate-reinforced dynamic hip screw (DHS-LSP) is as good result for patients with instable hipfractures as for patients with stable fractures.

📌 3 Key Takeaways

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Objective & Hypothesis:Introduction: In this study, we evaluated the results of fixation done using 135° dynamic hip screw-locking sideplate (DHS-LSP) for stable and instable pertrochanteric fractures.Material and Method: Between 2010 and 2013, 42 patients who were 60 years of age or older withintertrochanteric fractures, Forty-two patients followed regularly with DHS-LSP were included in the study.
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Key Findings & Data:Thosewith a stable fracture (AO-A1) were assigned to group 1 (n=20), and those with an unstable fracture (AO-A2) wereassigned to group 2 (n=22)Results: Patients in group 1 were followed up for a mean of 36.82 (22 to 44) months, and patients in group 2were followed up for a mean of 32.25 (19 to 49) months (p=0.077).
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Conclusion & Impact:Thedynamic side-plate-reinforced dynamic hip screw (DHS-LSP) is as good result for patients with instable hipfractures as for patients with stable fractures.
🔬Design:Research Article
📍Scope:2010 Verileri
⚙️Variables:Domain Parameters

Abstract

Introduction: In this study, we evaluated the results of fixation done using 135° dynamic hip screw-locking sideplate (DHS-LSP) for stable and instable pertrochanteric fractures.Material and Method: Between 2010 and 2013, 42 patients who were 60 years of age or older withintertrochanteric fractures, Forty-two patients followed regularly with DHS-LSP were included in the study. Thosewith a stable fracture (AO-A1) were assigned to group 1 (n=20), and those with an unstable fracture (AO-A2) wereassigned to group 2 (n=22)Results: Patients in group 1 were followed up for a mean of 36.82 (22 to 44) months, and patients in group 2were followed up for a mean of 32.25 (19 to 49) months (p=0.077). The mean age of all patients was calculatedas 74.81 (61 to 96). Harris hip scores were found as good-very good in both groups (group 1=80.96, group2=78.63). No statistically significant difference was found between the two groups (p˂0.428).Three patients ingroup 1 and 6 patients in group 2 were observed postoperative complications. Cut-out was observed totaly 3patients (1 of group1, 2 of group2) had a revison surgery (7%). However, there was no statistically significantdifference between the two groups (p=0.401).Conclusion: It is known that dynamic hip screw is the ideal method for stable intertrochanteric fractures. Thedynamic side-plate-reinforced dynamic hip screw (DHS-LSP) is as good result for patients with instable hipfractures as for patients with stable fractures.

Özet

Giriş: Bu çalışmada, stabil ve instabil pertrokanterik kırıklar için 135 ° kilitli dinamik kalça çivisi (DHS-LSP) kullanılarak yapılan fiksasyon sonuçlarını değerlendirdik. Gereç ve Yöntem: Çalışmada 2010-2013 yılları arasında 60 yaş ve üzerindeki intertrokanterik kırıklı hastalar değerlendirildi. DHS-LSP uygulanan düzenli takip edilen 42 hasta çalışmaya dahil edildi. Stabil kırıklı hastalar (AO- A1) grup 1 (n = 20) ve stabil olmayan kırıklı hastalar (AO-A2) ise grup 2 olarak ayrılarak değerlendirildi (n = 22). Bulgular: Grup 1'deki hastalar ortalama 36.82 (22-44) ay takip edildi ve grup 2'deki hastalar ortalama 32.25 (19- 49) ay takip edildi (p = 0.077). Tüm hastaların ortalama yaşı (n = 20 grup 1, n = 22 grup 2) 74.81 (61 ila 96) olarak hesaplandı. Harris kalça skorları her iki grupta da iyi-çok iyi bulundu (grup 1 = 80.96, grup 2 = 78.63). İki grup arasında istatistiksel olarak anlamlı fark bulunamadı (p˂0.428). Grup 1'de 3, grup 2'de 6 hastada postoperatif komplikasyon gözlendi. Toplamda 3 hastaya (grup1’de 1, grup2’de 2'hastada) cut-out sebebiyle revizyon cerrahisi (% 7) uygulandı. Ancak iki grup arasında istatistiksel olarak anlamlı fark gözlenmedi (p = 0.401). Sonuç: Dinamik kalça vidasının stabil intertokanterik kırıklar için ideal bir yöntem olduğu bilinmektedir. Kilitli yan plakla güçlendirilmiş dinamik kalça vidası (DHS-LSP) ise instabil kalça kırıklı hastalarda da stabil kırıklı hastalar kadar iyi sonuç vermektedir.

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Cite This Article

KAYALI, C., ÇİTAK, C., ALTAY, T., KARAHAN, H. G., YAMAK, K. (2022). THE EFFECTIVENESS OF FIXATION WITH DYNAMIC HIP SCREW- LOCKING SIDE PLATE FOR STABLE AND UNSTABLE INTERTROCHANTERIC FRACTURES OF THE HIP IN ELDERLY PATIENTS. İzmir Eğitim ve Araştırma Hastanesi Tıp Dergisi, Cilt: 22 - Sayı: 4, 159–164. https://ajindex.com/articles/557792

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