M.Attia, H., A.Hosny, G., A.Ibrahim, H. (2023). Management of intertrochanteric fractures with external fixation. Benha Journal of Applied Sciences, 8(3), 43-49. doi: 10.21608/bjas.2023.201034.1124
Hassan M.Attia; Gamal A.Hosny; Hesham A.Ibrahim. "Management of intertrochanteric fractures with external fixation". Benha Journal of Applied Sciences, 8, 3, 2023, 43-49. doi: 10.21608/bjas.2023.201034.1124
M.Attia, H., A.Hosny, G., A.Ibrahim, H. (2023). 'Management of intertrochanteric fractures with external fixation', Benha Journal of Applied Sciences, 8(3), pp. 43-49. doi: 10.21608/bjas.2023.201034.1124
M.Attia, H., A.Hosny, G., A.Ibrahim, H. Management of intertrochanteric fractures with external fixation. Benha Journal of Applied Sciences, 2023; 8(3): 43-49. doi: 10.21608/bjas.2023.201034.1124
Management of intertrochanteric fractures with external fixation
1Orthopedic Surgery Dept.,Fac., of Medicine, Benha Univ., Egypt
2(M.B.B.Ch And M.Sc),Fac., of Medicine, Benha Univ., Egypt
Abstract
Objective:This study aimed to examine the efficacy of external fixators in treating intertrochanteric fractures in terms of union, functional outcome, and comorbidities.Background:Internal fixation of intertrochanteric fractures in older patients with anesthesia or surgical concerns or in patients with an open fracture has a high complication risk; thus, external fixation should be examined as a semiconservative method to reduce operating time and complications.Patients and methods:twentypatients with intertrochanteric fracture with a wide range of ages and different physical conditions were treated by Ilizarov external fixator.Results:All patients were clinically and radiologically examined for at least six months. There were 15 patients with excellent and good [satisfactory] outcomes, 2 patients with acceptable results, and 3 patients with bad [unsatisfactory] results. Radiological union and fixator removal occurred between 8 and 20 weeks, with a mean of 13.4 weeks. Illness of the pin tract developed in all patients, with one patient developing a very severe infection. Four individuals had a varus malalignment, and one patient had a valgus deformity. Two individuals experienced temporary knee stiffness.Conclusion:External fixation of intertrochanteric fractures and open fractures in older, high-risk patients has been proved to be a dependable, successful, and safe therapeutic option. It involves little operating risk, minimal blood loss, a brief hospital stay, early mobility, and a low rate of morbidity and death.