AO Reconstruction Plate as Buttressing for Greater Trochanter in Hemiarthroplasty Procedure
Asian Journal of Orthopaedic Research,
Introduction: The trend of intertrochanter fractures has gradually increased leading to a high frequency of difficulties and damage as the result of the increased age and risk factors. Accordingly, the aim of stable fixation in these fractures is designed with appropriate surgical procedures and patient care. The contribution of a stable fixation is due to several considerations including fracture shape and assurance, bone quality, comminution pattern, implant choice, and surgical technique. This study aimed to assess the functional outcomes of the patients with an intertrochanteric fracture who underwent hemiarthroplasty with AO recon as buttressing.
Materials and Methods: This was a case series study conducted in Gadjah Mada University Academic Hospital in Yogyakarta from January 2019 – November 2019. Patients with Evans unstable intertrochanteric femoral fractures who underwent simultaneous unipolar hemiarthroplasty and fixation with AO reconstruction plate and SS wire as buttressing were evaluated. Pre and postoperative radiographs, postoperative Visual Analog Scale (VAS) score, walking ability using Harris Hip Score (HHS), and Lower Extremity Functional Score (LEFS) were the outcome parameters.
Results: A total of 6 patients, 4 of whom were male with an average age of 81 years old were included in this study. All the mechanisms of injury were low-energy trauma. The mean VAS score was decreased, from 7 pre-operatively to 1.5 post-operatively at final follow-up (p-value < 0.05). The patients had a mean HHS of 82.5 and a LEFS mean of 56.7.
Conclusion: Buttress plate fixation using an AO reconstruction plate for trochanteric fracture following unipolar hemiarthroplasty resulted in a good functional outcome.
- AO reconstruction plate
- intertrochanteric fracture
- functional outcome.
How to Cite
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