Summary
Four hundred and thirty femoral trochanteric fractures operated with nail-plate (McLaughlin), Ender, or sliding screw-plate (Richard) osteosynthesis were followed up radiographically and clinically. For each method of osteosynthesis the initial nail position was correlated to the occurrence of late mechanical complications. Unstable fractures were associated with a higher incidence of one or more clinical complications such as repeated surgery, post-operative death, or increased pain. For Ender osteosynthesis correlations were found between several mechanical and clinical complications, while for Richard's osteosynthesis mechanical complications were significantly correlated to repeated surgery only. McLaughlin and Ender osteosyntheses had a higher incidence of reoperations than Richard's osteosynthesis, whereas the mobility and ADL function were the same at 4 months.
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Andersson S, Herrlin K, Wallöe A, Lidgren L (1984) Complications after trochanteric fractures. Acta Orthop Scand 55:187–191
Bonamo JJ, Accettola AB (1982) Treatment of intertrochanteric fractures with a sliding nail-plate. J Trauma 22:205–215
Ceder L (1980) Hip fracture in the elderly. Thesis, Lund, Sweden
Clawson DK (1964) Trochanteric fractures treated by the sliding screw plate fixation method. J Trauma 4:737–756
Harper MC (1982) The treatment of unstable intertrochanteric fractures using a sliding screw-medial displacement technique. J Trauma 22:792–796
Herrlin K, Strömberg T, Wallöe A, Lidgren L, Pettersson H (1988) Trochanteric fractures — classification and mechanical stability in McLaughlin, Ender and Richard osteosynthesis. Acta Radiol [Diag] (Stockh) (in press)
Heyse-Moore, GH, MacEachern AG, Jameson Evans DC (1983) Treatment of intertrochanteric fractures of the femur. A comparison of the Richards screw-plate with the Jewett nail-plate. J Bone Joint Surg [Br] 65: 262–267
Högh J, Lund B, Lucht U (1981) Trochanteric and subtrochanteric fractures. The operative results in a prospective and comparative study of Ender nailing and McLaughlin osteosynthesis. Acta Orthop Scand 52:639–643
Högh J (1982) Sliding screw in the treatment of trochanteric and subtrochanteric fractures. Injury 14:141–145
Jacobs RR, Armstrong HJ, Whitaker JH, Pazell J (1976) Treatment of intertrochanteric fractures with a compression hip screw and a nail plate. J Trauma 16:599–603
Kaufer H, Matthews LS, Sonstegard D (1974) Stable fixation of intertrochanteric fractures. J Bone Joint Surg [Am] 56:899–907
Lund B, Högh J, Lucht U (1981) Trochanteric and subtrochanteric fractures. One-year follow-up of a prospective study of Ender and McLaughlin osteosynthesis. Acta Orthop Scand 52:645–648
Paul JP (1976) Force actions transmitted by joints in the human body. Proc R Soc London [Biol] 192:163–172
Sahlstrand T (1974) The Richards compression and sliding screw system in the treatment of intertrochanteric fractures. Acta Orthop Scand 45:213–219
Steen Jensen J, Sonne-Holm S (1980) Critical analysis of Ender nailing in the treatment of trochanteric fractures. Acta Orthop Scand 51:817–825
Steen Jensen J, Sonne-Holm S, Töndevold E (1980) Unstable trochanteric fractures. A comparative analysis of four methods of internal fixation. Acta Orthop Scand 51: 949–962
Wolfgang GL, Bryant MH, O'Neill JP (1982) Treatment of intertrochanteric fracture of the femur using sliding screw plate fixation. Clin Orthop 163:148–158
Zetterberg C, Andersson GBJ (1982) Fractures of the proximal end of the femur in Göteborg, Sweden, 1940–1979. Acta Orthop Scand 53:419–426
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This work was supported by grants from the Greta and Johan Kocks Foundation, Lunds sjukvårdsdistrikt and Alfred Österlunds Foundation.
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Herrlin, K., Strömberg, T., Pettersson, H. et al. Trochanteric fractures — a clinical and radiologic evaluation of McLaughlin, Ender, and Richard's osteosynthesis. Arch Orthop Trauma Surg 108, 36–39 (1989). https://doi.org/10.1007/BF00934155
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DOI: https://doi.org/10.1007/BF00934155