Logo of The Journal of Bone & Joint Surgery (Br)
Quick search:        
          Advanced Search
Guest Access | Sign In
Journal of Bone and Joint Surgery - British Volume, Vol 90-B, Issue SUPP_I, 10.  
Copyright © 2008 by British Editorial Society of Bone and Joint Surgery
This Article
Right arrow Alert me when this article is cited
Right arrow Alert me if a correction is posted
Services
Right arrow Email this article to a friend
Right arrow Similar articles in this journal
Right arrow Alert me to new issues of the journal
Right arrow Download to citation manager
Citing Articles
Right arrow Citing Articles via Google Scholar
Google Scholar
Right arrow Articles by Shevtsov, V.
Right arrow Articles by Giannikas, K.
Right arrow Search for Related Content
PubMed
Right arrow Articles by Shevtsov, V.
Right arrow Articles by Giannikas, K.

British Orthopaedic Association

Birmingham, England: 17–19 September 2003

President: Professor Paul Gregg

INTERTROCHANTERIC FRACTURES IN YOUNG PATIENTS TREATED ACCORDING TO THE PRINCIPLES OF THE ILIZAROV FIXATION

VI Shevtsov; SI Shved; AV Kaminsky; and KA Giannikas

University of Manchester, Dept of Orthopaedics, Oxford Road, Manchester M13 9PL

We report a prospective study of 106 consecutive patients younger than 60 years old who suffered an intertrochanteric fracture of the proximal femur and were treated with an "Ilizarov" external fixator. All surviving patients were assessed with the assistance of the "CITO" evaluation system for fracture outcomes at three months post-injury and 73 patients were either clinically reviewed or contacted by a letter to establish the long-term results.

Complications included one intraoperative death, one case of post-traumatic ankylosis of the hip, two cases that were discharged in varus and one case in valgus of the femoral neck. Other complications included pin-track infections and stiffness at the level of the knee that required a year to resolve. Overall long-term satisfaction was high (76% in reviewed patients and 91% in patients contacted by letter).

The advantages of the "Ilizarov" external fixator include minimal disruption of the tissues and blood loss, capability of closed reduction of the fractures as well as post-operative manipulation of the fracture by gradual adjustments of the frame. This method, however, is time consuming, requires expertise and intense follow-up during the immediate post-operative period.

The abstracts were prepared by Mr Tim Briggs. (Editoral Secretary 2003/4) Correspondence should be addressed to him at Lane Farm, Chapel Lane, Totternhoe, Dunstable, Bedfordshire LU6 2BZ, United Kingdom






(c) British Editorial Society of Bone and Joint Surgery All Rights Reserved
Registered charity no: 209299     Print ISSN: 0301-620X
Hip, Knee, Trauma, Upper limb, Foot & Ankle, Paediatrics, Oncology, Spine, Arthroplasty, General