Journal of Postgraduate Medicine
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Year : 1996  |  Volume : 42  |  Issue : 1  |  Page : 4-6

A study of the role of osteotomy in unstable intertrochanteric fractures.


Dr R N Cooper Hospital, Mumbai 400056.

Correspondence Address:
M M Kumar
Dr R N Cooper Hospital, Mumbai 400056.

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Source of Support: None, Conflict of Interest: None


PMID: 0009715288

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Osteotomy has been used in treatment of unstable intertrochanteric hip fractures in an attempt to increase the stability of the fracture fragments. We have assessed this stability in a randomised prospective study on 138 patients, all having been fixed by dynamic hip screen, comparing anatomical reduction with medialisation osteotomy. The groups were similar in terms of age, gender and fracture configuration. There was no difference in final results in both groups except that operation time was longer in osteotomy group and the blood loss was more. We found no clear benefit from osteotomy and therefore recommend anatomical reduction and fixation by a sliding hip screw in most cases. Rarely, a fracture configuration which does not allow anatomical reduction may benefit from an osteotomy.






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Online since 12th February '04
2004 - Journal of Postgraduate Medicine
Official Publication of the Staff Society of the Seth GS Medical College and KEM Hospital, Mumbai, India
Published by Wolters Kluwer - Medknow