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Sliding-screw plate fixation of proximal femoral fractures: Radiographic assessment

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Abstract

The sliding compression screw-sideplate combination is currently the most widely empoloyed device for internal fixation of stable and unstable intertrochanteric fractures of the femur. The normal and abnormal radiographic appearances of this device in the immediate post-operative period are discussed. Potential long-term complications including mal- or non-union, intra-articular penetration, metal failure, rotation of the proximal fracture fragment, disengagement, trochanteric bursitis, leg length discrepancy, delayed cervical stress fracture, and ischemic necrosis are reviewed.

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Authors and Affiliations

  1. University of California Medical Center, San Diego, California, USA

    David J. Sartoris M.D. & Donald Resnick M.D.

  2. Department of Radiology, LA County-USC Medical Center, Los Angeles, California, USA

    Roger Kerr M.D.

  3. Department of Radiology, Pomerado Hospital, Poway, California, USA

    Thomas Goergen M.D.

  4. Department of Radiology, VA Medical Center, 3350 La Jolla Village Drive, 92161, San Diego, CA, USA

    David J. Sartoris M.D. & Donald Resnick M.D.

Authors
  1. David J. Sartoris M.D.
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  2. Roger Kerr M.D.
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  3. Thomas Goergen M.D.
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  4. Donald Resnick M.D.
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Sartoris, D.J., Kerr, R., Goergen, T. et al. Sliding-screw plate fixation of proximal femoral fractures: Radiographic assessment. Skeletal Radiol 14, 104–110 (1985). https://doi.org/10.1007/BF00349744

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