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Minimally invasive sliding hip screw insertion technique.
- Source :
-
Hip International . Apr-Jun2012, Vol. 22 Issue 2, p214-217. 4p. 3 Diagrams, 1 Chart. - Publication Year :
- 2012
-
Abstract
- Sliding hip screws (SHS) are commonly used for fixation of extra-capsular hip fractures, and there is increasing use of minimally invasive methods of insertion of such devices. We describe a case series of 579 consecutive patients operated on by the senior author using such a technique. Data were collected prospectively and analysed retrospectively. The technique involves a 5cm incision, retraction of vastus lateralis superiorly by a chain retractor, and use of a SHS clamp to stabilise the plate on the femur. The patients had a mean age of 81 years, surgery time of 43 minutes and hospital stay of 17 days. 77% were female and 35% required a blood transfusion post-operatively. Everyone was mobilised fully weight-bearing post-operatively. Follow-up was at six weeks for radiographic review and then subsequently at one year. The commonest complications were superficial wound infection (1.7%), detachment of the plate (0.9%) and cut-out of the lag screw (0.5%). [ABSTRACT FROM AUTHOR]
Details
- Language :
- English
- ISSN :
- 11207000
- Volume :
- 22
- Issue :
- 2
- Database :
- Academic Search Index
- Journal :
- Hip International
- Publication Type :
- Academic Journal
- Accession number :
- 75274401
- Full Text :
- https://doi.org/10.5301/HIP.2012.9236