Доступ предоставлен для: Guest
Портал Begell Электронная Бибилиотека e-Книги Журналы Справочники и Сборники статей Коллекции
Journal of Long-Term Effects of Medical Implants
SJR: 0.133 SNIP: 0.491 CiteScore™: 0.89

ISSN Печать: 1050-6934
ISSN Онлайн: 1940-4379

Выпуски:
Том 29, 2019 Том 28, 2018 Том 27, 2017 Том 26, 2016 Том 25, 2015 Том 24, 2014 Том 23, 2013 Том 22, 2012 Том 21, 2011 Том 20, 2010 Том 19, 2009 Том 18, 2008 Том 17, 2007 Том 16, 2006 Том 15, 2005 Том 14, 2004 Том 13, 2003 Том 12, 2002 Том 11, 2001 Том 10, 2000

Journal of Long-Term Effects of Medical Implants

DOI: 10.1615/JLongTermEffMedImplants.v22.i1.10
pages 1-10

Sliding Screw Implants for Extracapsular Hip Fractures

Andreas F. Mavrogenis
First Department of Orthopaedics, National and Kapodistrian University of Athens, School of Medicine, ATTIKON University Hospital, Athens, Greece
George Kouvidis
Department of Orthopaedics, University of Crete, Crete, Greece
Nikolaos A. Stavropoulos
First Department of Orthopaedics, ATTIKON General University Hospital, Athens University Medical School, Athens, Greece
loannis Stavrakakis
Department of Orthopaedics, University of Crete, Crete, Greece
Pavlos Katonis
Department of Orthopaedics, University of Crete, Crete, Greece
Panayiotis J. Papagelopoulos
First Department of Orthopaedics, National and Kapodistrian University of Athens, School of Medicine, ATTIKON University Hospital, Athens, Greece

Краткое описание

Hip fractures are associated with significant mortality and morbidity for the patients, more dependent residual status, and increased socio-economic cost. Many hip-fracture patients experience severe functional impairment, and most never recover their pre-fracture level of function. Current research has sought to identify the most effective treatments to reduce the incidence of hip fractures, improve survival and quality of life, and minimize complications and disability. The treatment of these fractures in the elderly aims to return these people to their pre-fracture mobility and functional level. This article reviews the surgical treatment options for extracapsular hip fractures and discusses their associated advantages, disadvantages, and complications. Two types of implants are currently available: the dynamic hip screw (DHS), and the intramedullary hip nail with one or two sliding screws. In this review, no clear advantage of one implant over another for the treatment of extracapsular hip fractures was evident. Both the DHS and hip nails can be used successfully for the treatment of stable hip fractures; for unstable fractures and low subtrochanteric fractures, hip nails are preferred. Although hip nails are associated with limited exposure, lower blood loss and transfusion requirements, and shorter operative time, complications are more common with hip nails. Long-term survival and function are similar in the two approaches. Hip nails with two sliding screws do not seem to make the difference in clinical practice that is reported in biomechanical studies.


Articles with similar content:

Chronic Achilles Tendinosis
Critical Reviews™ in Physical and Rehabilitation Medicine, Vol.12, 2000, issue 2
Hakan Alfredson, Ronny Lorentzon
Rehabilitation of Hip Fractures: a Review
Critical Reviews™ in Physical and Rehabilitation Medicine, Vol.10, 1998, issue 1
Eli Isakov, Reuben Eldar
Cost-Effectiveness of Rehabilitation After Spinal Cord Injury
Critical Reviews™ in Physical and Rehabilitation Medicine, Vol.10, 1998, issue 4
Jason N. Doctor, Diana D. Cardenas
A Histologic Analysis of a Retrieved Specimen 24 Years after Hemiresurfacing for Avascular Necrosis
Journal of Long-Term Effects of Medical Implants, Vol.29, 2019, issue 1
Matthew A. Harb, Aditya V. Maheshwari, Christopher Yiachos, Dipal Chatterjee, Henry M. Tischler, Stefan Tangl, Vincent J. Vigorita
Treatment and Rehabilitation After Hip Fracture in the Elderly
Critical Reviews™ in Physical and Rehabilitation Medicine, Vol.19, 2007, issue 2
Yoichi Shimada, Hitoshi Kagaya