Treatment of intertrochanteric fractures in geriatric patients with a modified external fixator

Injury. 2005 May;36(5):635-43. doi: 10.1016/j.injury.2004.10.013.

Abstract

Forty-two geriatric patients who had an intertrochanteric fracture were treated with a semicircular modification of the Ilizarov frame designed by Cattaneo and Catagni between January 1997 and September 2001. Twenty-five of the patients were female, 17 male. The average age of the patients was 77.5 years (range, 63-99). No intraoperative complication occurred. Deep pin-track infection was found in four patients and varus deformity was observed in two patients and shortening of less than 2 cm in 10 patients. Fixator removal was achieved in a mean time of 12 weeks (range, 10-18). No implant failure, refracture or stiffness of knee and hip joint movements was recorded. We concluded that the treatment of intertrochanteric fractures of the elderly patients with our modification provides significant advantages such as minimal operative and anaesthetic risks, no blood loss, early weight-bearing, short hospitalisation time and rapid union time.

Publication types

  • Evaluation Study

MeSH terms

  • Aged
  • Aged, 80 and over
  • External Fixators*
  • Female
  • Hip Fractures / complications
  • Hip Fractures / diagnostic imaging
  • Hip Fractures / surgery*
  • Humans
  • Ilizarov Technique / standards*
  • Length of Stay
  • Male
  • Middle Aged
  • Postoperative Complications / etiology
  • Radiography
  • Treatment Outcome