Is there any purpose in classifying subtrochanteric fractures? The reproducibility of four classification systems.

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Abstract

[Indexed for MEDLINE] 6. Orthopedics. 1991 Oct;14(10):1123-8. doi: 10.3928/0147-7447-19911001-11. Bent plate fixation in combined intertrochanteric and subtrochanteric fractures of the femur. Rowe SM(1), Chung JY, Moon ES, Song EK. Author information: (1)Department of Orthopedics, Chonnam University Hospital, Kwangju, Korea. Twenty-five combined intertrochanteric and subtrochanteric fractures of the femur (Type IV of Kyle's or Type V of Seinsheimer's classification) were treated with a bent plate and followed up through union (average: 2 years). All of the patients received immediate supplementary bone grafting and additional external supports. All but one of the fractures united between 3 and 6 months. Complications were: delayed union (1 case), which was treated by bone graft, trochanteric bursitis (3), and mild coxa vara (2). Anatomical reduction of scattered fragments and its maintenance through bony union were achieved in all cases. The bent plate provided excellent fixation in combined intertrochanteric and subtrochanteric fracture of the femur, and could be a successful alternative for these combined fractures. DOI: 10.3928/0147-7447-19911001-11