Tratamiento subtrocantérico no fusionado. (Inglés)

Jasper S. de Vriesa, , , Peter Kloena, b, Oliver Borensb, René K. Martia and David L. Helfetb

aDepartment of Orthopaedic Surgery, Academic Medical Center, P.O. Box 22660, 1100 DD Amsterdam, The Netherlands bOrthopaedic Trauma Service, Hospital for Special Surgery, New York, NY, USA

Summary The purpose of this retrospective study was to evaluate our results of treating subtrochanteric nonunions with a (AO/ASIF) blade plate. We treated a total of 32 patients (33 hips) with a subtrochanteric nonunion with a blade plate. Outcome measures were time to healing, complications after the index-operation and the Merle d’Aubigne hip score at follow-up. Union was achieved in 32 of the 33 hips after an average of 5 months. Complications were seen in nine patients (nine hips); five complications required re-intervention and four minor complications were treated conservatively. According to the Merle d’Aubigne hip score, 10 patients were rated as excellent, 15 as good and 7 as fair. This study shows that treatment of a subtrochanteric nonunion with a blade plate consistently leads to bony union with a good to excellent hip score in the vast majority of the patients (25 out of 33 hips).

Injury. Volume 37, Issue 2 , February 2006, Pages 203-211.