Author, Subjects, Keywords

Cited Author

 
 
   » By Author or Editor
 » Browse Author by Alphabet
 » By Journal
 » By Subjects
 » Malaysian Journals
 » By Type
 » By Year
 » By Latest Additions
 
 
   » By Author
 » Top 20 Authors
 » Top 20 Article
 » Top Journal Cited
 » Top Article Cited
 » Journal Citation Statistics
 » Usage Since Sept 2007


 
 
 

Login | Create Account

Mechanical Failure of Dynamic Hip Screw (DHS) Fixation in Intertrochanteric Fracture of the Femur

Nordin S., and Zulkifli O., and Faisham W.I., (2001) Mechanical Failure of Dynamic Hip Screw (DHS) Fixation in Intertrochanteric Fracture of the Femur. Medical Journal of Malaysia, 56 (Supplement D). pp. 12-17. ISSN 0300-5283

Full text not available from this repository.

Affiliations

Hospital Universiti Sains Malaysia. School of Medical Science. Dept. of Orthopaedics.
Hospital Seberang Jaya (Penang).
Hospital Universiti Sains Malaysia. School of Medical Science. Dept. of Orthopaedics.

Abstract

We studied 60 intertrochanteric fractures of the femur fixed with Dynamic Hip Screw (DHS). There were 10 cases (16.7%) with cutting-out of device through femoral head and neck. Stable fracture pattern, postero-inferior and central position of screw in the femoral neck and head produced high percentage of good result, whereas anterior or superior position of screw produced higher incidence of cut-out. We found osteoporosis and distance of screw tip to subchondral bone to have no influence on the final outcome.

Item Type:Journal
Keywords:Intertrochanteric fracture, Dynamic Hip Screw, Mechanical failure
Subjects:R Medicine, Dentistry, Pharmacy, Nursing
ID Code:7751

1. Parker MJ. Hip fracture management. Blackwell, Oxford 1993: 9-16.

2. Clawson DK. Trochanteric fracture treated with the sliding screw plate fixation method. J trauma 1964; 4: 737-52.

3. Massie WK. Extracapsular fractures of the hip treated by impaction using a sliding nail plate fixation. Clin. Orthop. 1962; 22: 180-202.

4. Gustilo RB, Kyle RF, Premer RF. Analysis of six hundreds and twenty-two intertrochanteric Hip fractures. J. Bone Joint Surg.; 61A: 216-21.

5. Simpson AH, Varty K, Dodd CAF. Sliding Hip Screw: Mode of Failure. Injury 1989; 20: 227-31. Jensen JS. Classification of trochanteric fractures. Acta Orthop. Scan. 1980b; 51: 803-10.

6. Singh M, Nagrath AR, Maini PS. Changes in the trabecular pattern of the upper end of the femur as an index of osteoporosis. J. Bone joint Surg. 1970; 52A: 457-67.

7. Doppelt SH. The sliding compression screw, today’s best answer for stabilization of intertrochenteric fractures. Orthop. Clin North Am. 1980; 11: 507-23.

8. Kenzora JE, McCarthy RE, Lowell JD. Hip fracture mortality: Relation to age, treatment, preoperative illness, time of surgery and complications. Clin Orthop. 1984; 186: 45-56.

9. Gallagher JC, Melton LJ, Riggs BL. Examination of prevalence rate of possible risk factors in a population with fracture of the proximal femur. Clin Orthop. 1980; 150: 163.

10. Dahl E. Mortality and life expectancy after hip fracture. Acta Orthop. Scan.; 1980; 51: 163-70.

11. Hogh J. Sliding screw in the treatment of trochanteric and subtrochanteric fractures. Injury 1980; 14 (2): 141-45.

12. Kyle RF, Wright TM, Burstein AH. Biomechanical Analysis of the sliding characteristics of compression hip screws. J. Bone joint Surg. 1980; 61A: 1308-314.

13. Leung KS, So WS, Shen WY, Hui PW. Gama Nail and Dynamic Hip Screws for peritrochanteric fractures: A randomised prospective study in elderly patient. J. Bone Joint Surg. 1992; 74B: 345-51.

14. Simon HB, Patel AD, Martin B, Calvert PT. Fixation of intertrochanteric fracture of the femur; A randomised prospective comparison of the Gama Nail and Dynamic Hip Screw. J. Bone Joint Surg. 1991; 73B: 330-34.

15. Aitken JM. Relevance of osteoporosis in women with fracture of femoral neck. BMJ 1984; 288: 597-601.

16. Cumming SR, Rubin SM, Black D. The future of hip fractures in United State: number, cost and potential effect of post menopause oestrogen. Clin. Orthop. 1990; 252: 163-66.

17. Kaufer H, Matthews LS, Sonstegard D. Stabile fixation of intertrochanteric fractures, a biomechanical evaluation. J Bone Joint Surg. 1974; 56A: 899-907.

18. Wolfgang GL, Bryant MH, O’Neill YP. Treatment of intertrochanteric fracture of the femur using sliding screw plate fixation. Clin. Orthop. 1982; 165: 148-158.

19. Davis TR, Sher JL, Horsman A. Intertrochanteric femoral fractures; Mechanical failure after internal fixation. J Bone Joint Surg 1990; 72B: 23-31.

20. Mainds CC, Newman JR. Implant failure in patients with proximal fractures of the femur treated with sliding screw device. Injury 1989; 20: 190-100.

21. Mulholland RC, Gunn DR. Sliding screw fixation of intertrochanteric femoral fractures. J Trauma 1972; 12: 581.

22. Flores LA, Harrington KD, Heller M. The stability of intertrochanteric fractures. J Trauma 1972; 12: 581.

23. Dimon JH, Hughston JC. Unstable intertrochanteric fractures of the Hips. J. Bone Joint Surg. 1967; 49A: 440-50.

24. Wilson HJ, Rubin BD, Helberg FEJ. Treatment of intertrochanteric fractures with Jewett’s Nail: Experience with 1015 cases. Clin. Orthop. 1980; 148: 186.

25. Brown TS, Brown CC. Failure of Sliding Nail Plate fixation of subcapital fracture of the femoral neck. J Bone Joint Surg 1987; 61B: 342-46.

26. Lowell JD. results and complication of femoral neck fractures. Clin. Orthop. 1980; 152: 162-72.

27. Jensen JS. Mechanical strength of sliding screw plate hip implant, a biomechanical study of unstable trochanteric fractures. Acta Orthop. Scan. 1980a; 51: 652-32.

Repository Staff Only: item control page
 
 
 
 
 
 
© Copyright 2007 MyAIS Faculty of Computer Science and Information Technology, University of Malaya – All Rights Reserved. Malaysian Abstracting and Indexing System is powered by EPrints 3 which is developed by the School of Electronics and Computer Science at the University of Southampton. More information and software credits.