Is External Fixation In Femoral Intertrochanteric Fractures in Critically Ill Geriatric Patients – Still Relevant?
Journal Title: Scholars Journal of Applied Medical Sciences - Year 2016, Vol 4, Issue 4
Abstract
Abstract: Trochanteric fractures are common fractures seen in the elderly often beset with medical problems of cardiac, renal, respiratory problems and systemic diseases like hypertension and diabetes. The efficient fixation of Trochanteric fractures by DHS and PFN depends on the fractures as classified by Boyd & Griffin. However prolonged anaesthesia with medical problems, surgical exposure and blood loss coupled with the patient’s reluctance may force a surgeon to opt for older conservative treatment by traction /derotation boot & bar with consequences of malunion and problems of prolonged recumbency. Fixation of these fractures using multiple Schanz Screw (External Fixator) under local anaesthesia without exposure offer adequate stability permitting early ambulation with least risk from medical problems. The goal of this study was to evaluate the role of external fixator as a treatment of intertrochanteric fractures in geriatric patients with high unacceptable operative risk to withstand conventional osteosynthesis. Keywords: Trochanteric fractures, Adequate Fixation, Early Weight Bearing, Local Anesthesia and High risk patients
Authors and Affiliations
Garg I. K K, Jain Gaurav, Singh Anil, Kumar Lalit
Keywords
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