Outcome of SHS-Plate in Treatment of Proximal Femoral Fracture Prospective Study Conducted In KTH, Ibnkhaldoon And Sahiroon Hospitals

الموضوعات

طب

الملخص

This is a prospective clinical study carried on 69 patients with proximalfemoral fractures treated with SHS at KTH,Sahiroon and Ibnkhaldoonhospitals during the period between May2002- June2003. Only fortyeightpatients were followed for six months and included in the analysisof the final results. The mean age of the 48 patients was 57.27years.The purpose of this study was to evaluate the functional outcome and tostudy the complications and their risk factors in patients with PFF treatedwith SHS. patients were males and 24were females. Out of the 48patients high-energy injury (RTA, fall from a height and gun shot) wasthe cause of fracture in twenty six patients while low-energy injury (fallat home) was the cause in twenty two patients.All of the fractures in female patients were intertrochanteric orbasicevical and 16 of them aged above 60 years sustained a low-energyinjury (fall at home).From the 29 male patients high-energy injury in 23 patients, of whom 18patients were aged below 50 years.Thirty three fractures were Intertrochanteric, eight were basicervical, twowere intracapsular and five were subtrochanteric.By the end of the first- 4 -postoperative week weight-bearing as tolerated was initiated by 36 of the48 patients, and most of the patients who had delayed postoperativeambulation had an associated injury. The overall failure of fracturehealing or fixation at six months was 14.6% (7 cases); cutting-out of thelag screw from the femoral head was the cause in 57% of the instances.Superior position of the lag screw and instability of the fracture werefound to be highly significant determinant factors that the implant willcut-out, but the age and walking ability had no significant influence.Penetration of the screw into the hip was seen in one patient, anotherpatient showed extrusion of the screw (>25mm) and the third patientpresented with refracture distal to the implant.Three out of the four patients with the cut-out screw had not united at sixmonths, with one patient with intracapsular fracture further complicatedby avascular necrosis. 40 (83.3%) patients had excellent to satisfactoryfunctional results and eight patients showed poor functional results. Atsix months only few patients retuned to their prefracture functional status.Male patients showed better functional outcome than femalepatients at six months follow-up.

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التعريف والنوع

رقم الوثيقة

00a69281-3e3e-4103-92d1-cbc675beeece

رقم العقد

0

نوع الوسائط

Crawler

نوع المحتوى

الرسائل العلمية

صيغة المصدر

رسائل ماجيستير

نوع الملف

pdf text

أسماء الملفات

1640548_1.pdf

بيانات النشر

ألقاب المؤلفين

[{"name_ar":"عبدالرحيم محمد","title_ar":"اشراف","title_en":"Supervision"},{"name_ar":"عبدالله الطيب","title_ar":"اعداد","title_en":"Preparation"}]

اللغة

English

المصدر والدورية

اسم المصدر

Outcome of SHS-Plate in Treatment of Proximal Femoral Fracture Prospective Study Conducted In KTH, Ibnkhaldoon And Sahiroon Hospitals

المحتوى والصفحات

عدد الصفحات

0

إشراف وإعداد

الإشراف

عبدالرحيم محمد

الإعداد

عبدالله الطيب

الاقتباسات الببليوغرافية