Abstract
The aim of the study was to evaluate the results of subtrochanteric femoral fractures treatment with a 90 degrees condylar blade plate, using indirect reposition technique.
Introduction: Fractures in the subtrochanteric zone of the proximal femur present complex treatment challenges. These treatment difficulties are related to the anatomic and biomechanical features that are unique to this area.
Methods: Between 1992 and 2002 76 patients with a mean age of 36 (17–80 years old) were treated with condylar blade plate in our hospital. Fractures resulting from traffic accidents accounted for 76% (58) of the cases, falls from heights for 18% (14), and the remaining cases had other causes.
Results: Union was achieved in 89,5% (68) patients (with full weight-bearing after a mean of 3 months (2–4 months)). Malunion was observed in four, and nonunion in two cases. Deep infection occurred in three cases, which required repeated debridements, bone grafting and decortication. The fractures were stabilized with a replacement condylar blade plate and healed uneventfully.
Conclusion: Subtrochanteric fractures are usually the result of high-energy trauma. The medial cortex of the proximal femur is exposed to high compressive force, which makes fracture stabilization a difficult problem. The reduction technique, which does not cause additional damage to the vitality of the bone, and the use of condylar plate improve significantly the outcome of the treatment.
Theses abstracts were prepared by Professor Roger Lemaire. Correspondence should be addressed to EFORT Central Office, Freihofstrasse 22, CH-8700 Küsnacht, Switzerland.
