Does the wedge wing in the neck screw prevent cut-out failure in OTA/AO 31- A2 trochanteric fractures in elderly patients?

Basit Öğe Kaydı
dc.contributor.authorGünay, Cüneyd
dc.contributor.authorAtalar, Hakan
dc.contributor.authorAltay, Murat
dc.contributor.authorYavuz, Osman Yüksel
dc.contributor.authorYildirim, Ahmet Özgür
dc.contributor.authorÖken, Fuad O.
dc.date.accessioned2025-10-24T18:06:51Z
dc.date.available2025-10-24T18:06:51Z
dc.date.issued2014
dc.departmentMalatya Turgut Özal Üniversitesi
dc.description.abstractThe purpose of this retrospective study was to evaluate the effects of Dyna Locking Trochanteric (DLT) nail (U & I Corporation 529-1, Yonghyun-dong, Uijungbu Kyunggi-Do, Korea 480-050) in 31-A1 and 31-A2 intertrochanteric femur fractures. Eightyseven patients (63 female and 24 male, mean age 77 years) were treated. The mean duration of followup was 16.6 ± 3.1 months (range, 12-24 months). There were 36 cases of 31-A1 and 51 cases of 31-A2 fractures. The duration of surgery, fluoroscopy screening time, the blood loss, the hospital stay, the tip-apex distance were significantly less in the 31-A1 fracture group compared with the 31-A2 fracture group (p < 0.001). Cut-out was observed in 13 patients (14.9%) above 80 years old with 31-A2 fractures. Especially in elderly patients with unstable 31-A2 fractures, the wedge wing on the neck screw does not work properly. Therefore further biomechanical investigations and also prospective clinical studies with larger series are needed to improve the device. © 2014, Acta Orthopdica Belgica. © 2014 Elsevier B.V., All rights reserved.
dc.identifier.endpage33
dc.identifier.issn0001-6462
dc.identifier.issue1
dc.identifier.pmid24873081
dc.identifier.scopus2-s2.0-84901438570
dc.identifier.scopusqualityQ3
dc.identifier.startpage26
dc.identifier.urihttps://hdl.handle.net/20.500.12899/3231
dc.identifier.volume80
dc.indekslendigikaynakScopus
dc.indekslendigikaynakPubMed
dc.language.isoen
dc.publisherARSMB-KVBMG aob.edit@skynet.be). amb@skynet.be Avenue W. Churchill-laan 11/30 Brussels B-1180
dc.relation.ispartofActa Orthopaedica Belgica
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanı
dc.rightsinfo:eu-repo/semantics/closedAccess
dc.snmzScopus_20251023
dc.subjectComplication
dc.subjectCutting out
dc.subjectIntertrochanteric fractures
dc.subjectIntramedullary nailing
dc.subjectOutcomes
dc.subjectTip apex distance
dc.titleDoes the wedge wing in the neck screw prevent cut-out failure in OTA/AO 31- A2 trochanteric fractures in elderly patients?
dc.typeReview Article

Dosyalar

Koleksiyon

Scopus İndeksli Yayınlar Koleksiyonu
PubMed İndeksli Yayınlar Koleksiyonu