30-179
Fracturas del macizo trocantéreo. Estudio comparativo Ender-DHS: Revision de 114 casos
Intertrochanteric fractures. A comparative study between ender's rods and dhs
D. J. GIMÉNEZ BELMONTE, A. LISON TORRES, J. M. MONTOZA NUNEZ, 0. MANSOR BEN-MIMOUN. J. A. LOZANO REQUENA, P. CANO LUIS y S. JAQUES VILLALVI Servicio de Traumatología y Cirugía Ortopédica. Hospital de la Vega Baja. Orihuela. Alicante.
Recepción:
06/11/2008
Aceptación:
06/11/2008
Publicación:
06/11/2008
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Resumen (ES)
A retrospective study of 114 intertrochanteric fractures operated on either with
Ender's rods (71) or dynamic hip screws, DHS (43) is presented. A statistical descriptive-comparative
study between the 2 groups was attempted. There was a greater index of stability using the
DHS (82%) than Ender's rods (61%). The rate of complications was 16% and 55% respectively.
The clinical outcome was better in cases treated with DHS, specially for walking ability,
which was regained in the 98% of cases (Ender 75%), painless and preserved mobility. The authors
think that the stability before operation do not influence the solidity of the assembly using
the DHS device. On the contrary, with the Ender's technique the fixation is no satisfactory in
unstables fractures. Ender's rods would only be suitable for treatment of stable fractures in older
patient or with serious associated diseases, although in clear competition with the DHS.
Ender's rods (71) or dynamic hip screws, DHS (43) is presented. A statistical descriptive-comparative
study between the 2 groups was attempted. There was a greater index of stability using the
DHS (82%) than Ender's rods (61%). The rate of complications was 16% and 55% respectively.
The clinical outcome was better in cases treated with DHS, specially for walking ability,
which was regained in the 98% of cases (Ender 75%), painless and preserved mobility. The authors
think that the stability before operation do not influence the solidity of the assembly using
the DHS device. On the contrary, with the Ender's technique the fixation is no satisfactory in
unstables fractures. Ender's rods would only be suitable for treatment of stable fractures in older
patient or with serious associated diseases, although in clear competition with the DHS.
Palabras clave (ES):
Trocantérea
Intramedular
Clavo
Condilocefálico
Placa
Cervicodiafisario
Cadera
Pertrocantérea
Intertrocantérea
Fémur
Proximal
Enclavijamiento
Enclavamiento
Endomedular
Fractura
Macizo
Trocantéreo
Ender
DHS
Resumen (EN)
A retrospective study of 114 intertrochanteric fractures operated on either with
Ender's rods (71) or dynamic hip screws, DHS (43) is presented. A statistical descriptive-comparative
study between the 2 groups was attempted. There was a greater index of stability using the
DHS (82%) than Ender's rods (61%). The rate of complications was 16% and 55% respectively.
The clinical outcome was better in cases treated with DHS, specially for walking ability,
which was regained in the 98% of cases (Ender 75%), painless and preserved mobility. The authors
think that the stability before operation do not influence the solidity of the assembly using
the DHS device. On the contrary, with the Ender's technique the fixation is no satisfactory in
unstables fractures. Ender's rods would only be suitable for treatment of stable fractures in older
patient or with serious associated diseases, although in clear competition with the DHS.
Ender's rods (71) or dynamic hip screws, DHS (43) is presented. A statistical descriptive-comparative
study between the 2 groups was attempted. There was a greater index of stability using the
DHS (82%) than Ender's rods (61%). The rate of complications was 16% and 55% respectively.
The clinical outcome was better in cases treated with DHS, specially for walking ability,
which was regained in the 98% of cases (Ender 75%), painless and preserved mobility. The authors
think that the stability before operation do not influence the solidity of the assembly using
the DHS device. On the contrary, with the Ender's technique the fixation is no satisfactory in
unstables fractures. Ender's rods would only be suitable for treatment of stable fractures in older
patient or with serious associated diseases, although in clear competition with the DHS.
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