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Online ISSN 1827-1707
102nd CONGRESS OF THE PIEMONTESE-LIGURIAN-LOMBARD SOCIETY OF ORTHOPEDICS AND TRAUMATOLOGY (S.P.L.L.O.T.) - Brescia September 9-10, 2005
NEW TECHNOLOGIES, MODERN INSTRUMENTARIUM IN ARTHROPLASTIC SURGERY
UPDATES ON FRACTURES
Berruti D., Gelosa G., Brignoli A., Marinoni E. C.
Clinica Ortopedica Azienda Ospedaliera San Gerardo Università degli Studi Milano Bicocca, Milano
Aim. The incidence worldwide of fractures of the proximal third of the femur is growing constantly as the average age of the population grows. This pathology therefore represents an important cause of morbility and mortality in all age segments, particularly among older subjects. Gotfried’s plate makes it possible to reduce the morbidity and mortality of these fractures and to reduce the respective burden on the health service. The aim of this new technique is to reduce systemic and local, postoperative complications especially in fragile and unstable patients so as to improve compliance and re-education for routine daily activities. The purpose of the present study was to assess the perioperative advantages and short-term results of this technique.
Methods. An observational study has been carried out on a consecutive series of 50 patients (16 male and 34 female, average age 72.2 yrs) treated for pertrochanteric fractures at the Orthopedic Clinic of the San Gerardo Hospital Unit between January 2004 and January 2005. Osteosynthesis was carried out in all patients using the Gotfried plate.
Results. Follow-up was 6 months. The average duration of surgery was 42 min (35-50) bearing in mind the learning curve; on average the intraoperative blood loss was 100 cc. The average haematocrit value was 35% (30-50%), and haemoglobin 10.2 g/dL (7.8-10.6).
Conclusion. Gotfried’s plate thus proved to be a valid alternative in the treatment of stable and unstable pertrochanteric fractures. It offers the possibility of reducing the morbidity and mortality that weigh on lateral fractures of the proximal third of the femur with integrity of the lateral wall and, consequently, a reduction in related health service expense. The preliminary results obtained in this study are apparently good and reflect the qualities set out by the authors.