Treatment of Reverse Oblique and Transverse Intertrochanteric Fractures with Use of an Intramedullary Nail or a 95° Screw-Plate by Christophe Sadowski,

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Presentation transcript:

Treatment of Reverse Oblique and Transverse Intertrochanteric Fractures with Use of an Intramedullary Nail or a 95° Screw-Plate by Christophe Sadowski, Anne Lübbeke, Marc Saudan, Nicolas Riand, Richard Stern, and Pierre Hoffmeyer J Bone Joint Surg Am Volume 84(3): March 1, 2002 ©2002 by The Journal of Bone and Joint Surgery, Inc.

Diagrams of AO/OTA 31-A fractures (Fig. 1-A) and of three subgroups of A3 fractures (Fig. 1-B). Christophe Sadowski et al. J Bone Joint Surg Am 2002;84: ©2002 by The Journal of Bone and Joint Surgery, Inc.

Diagrams of AO/OTA 31-A fractures (Fig. 1-A) and of three subgroups of A3 fractures (Fig. 1-B). Christophe Sadowski et al. J Bone Joint Surg Am 2002;84: ©2002 by The Journal of Bone and Joint Surgery, Inc.

Fig. 2-A Preoperative anteroposterior radiograph of the right hip of a seventy-two-year-old man who fell while hiking, showing an A3 reverse oblique intertrochanteric fracture. Christophe Sadowski et al. J Bone Joint Surg Am 2002;84: ©2002 by The Journal of Bone and Joint Surgery, Inc.

Fig. 2-B Radiograph, made six months after fixation with an intramedullary nail, showing a healed fracture. Christophe Sadowski et al. J Bone Joint Surg Am 2002;84: ©2002 by The Journal of Bone and Joint Surgery, Inc.

Fig. 3-A Anteroposterior radiograph of the left hip of a sixty-four-year-old alcoholic man who fell while walking in the street, revealing an A3 reverse oblique intertrochanteric fracture. Christophe Sadowski et al. J Bone Joint Surg Am 2002;84: ©2002 by The Journal of Bone and Joint Surgery, Inc.

Fig. 3-B Radiograph, made six months after fixation with a dynamic condylar screw, showing satisfactory healing. Christophe Sadowski et al. J Bone Joint Surg Am 2002;84: ©2002 by The Journal of Bone and Joint Surgery, Inc.

Fig. 4-A Preoperative radiograph of an unstable A3 fracture in a ninety-two-year-old woman who fell while shopping. Christophe Sadowski et al. J Bone Joint Surg Am 2002;84: ©2002 by The Journal of Bone and Joint Surgery, Inc.

Fig. 4-B Radiograph made immediately postoperatively in the operating room. Christophe Sadowski et al. J Bone Joint Surg Am 2002;84: ©2002 by The Journal of Bone and Joint Surgery, Inc.

Fig. 4-C Radiograph, made three weeks postoperatively, showing intact fixation. Christophe Sadowski et al. J Bone Joint Surg Am 2002;84: ©2002 by The Journal of Bone and Joint Surgery, Inc.

Fig. 4-D Radiograph, made when the patient was reevaluated two months postoperatively because of pain and an inability to walk, revealing cut-out of the lag screw with dissociation of the implant components. Christophe Sadowski et al. J Bone Joint Surg Am 2002;84: ©2002 by The Journal of Bone and Joint Surgery, Inc.