Alonso-García N
Spain
Research Article
Hip Fractures with Rotational Instability: Concept and Surgical Technique
Author(s): Aguado-Maestro I, Escudero-Marcos R, Alonso-García N, Alonso-García N, Pérez-Bermejo D, Bañuelos-Díaz A, Cebrián-Rodríguez E, Ramos-Galea R and García-Alonso MAguado-Maestro I, Escudero-Marcos R, Alonso-García N, Alonso-García N, Pérez-Bermejo D, Bañuelos-Díaz A, Cebrián-Rodríguez E, Ramos-Galea R and García-Alonso M
Introduction: New concepts regarding instability in extra capsular fractures have led to a better understanding of their biomechanical behavior. Location and direction of the fracture line determine rotational instability in typically defined “stable” fractures. We propose a modification of the classical osteosynthesis with endomedular nail.
Material and methods: Fourteen patients met the inclusion criteria (31A1 fractures with a fracture line angled more than 70 degrees) between October 2012 and February 2013. They were all treated with PFNA nail, standard technique modified by adding a 7.3 mm cannulated screw with anti-rotation effect as described by the authors. X-Ray controls were performed after 24 hours, and after 1, 3 and 6 months, evaluating reduction, helical blade position (Cleveland-Bosworth) and tip-apex distance (Baumg.. View More»
