[Predictive criterions of unrecognized articular effraction after internal fixation of femoral neck fractures]. / Criteres predictifs d'une effraction articulaire meconnue apres osteosynthese d'une fracture du col du femur.
Tunis Med
; 82(9): 827-36, 2004 Sep.
Article
en Fr
| MEDLINE
| ID: mdl-15693476
On the basis of a retrospective study comprising 91 cases of femoral neck fracture treated by DHS, unrecognized screw articular penetration was observed in 9 cases (9.9%). The coxa valga (Garden I) fractures are the most interested by this complication (7 cases out of 9). With a practical purpose and to avoid remarking each time complex measurements again we found that the distance "d" separating the end of the implant from subchondral bone calculated on antero posterior and lateral views and so the angle measured on the lateral view were two criteria significantly predictive of this technical error with respectively P: 0.005 and P: 0.0005. Thus during the surgical procedure taking these two measurements after the installation of the pin guide would allow attention on the risk incurred. In case of doubt, we have changed the way of this pin before resorting to drilling and tapping.
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Colección:
01-internacional
Base de datos:
MEDLINE
Asunto principal:
Fracturas del Cuello Femoral
/
Fijación Interna de Fracturas
Tipo de estudio:
Diagnostic_studies
/
Etiology_studies
/
Observational_studies
/
Prognostic_studies
/
Risk_factors_studies
Límite:
Humans
Idioma:
Fr
Revista:
Tunis Med
Año:
2004
Tipo del documento:
Article
País de afiliación:
Túnez
Pais de publicación:
Túnez