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Background: The fixed-angle sliding hip screw has become a popular method of fixation for pertrochanteric hip fractures. The tip-to-apex distance TAD concept was introduced by Baumgaertner et al. The degree plate has become the most popular plate used for fracture fixation, although this has not been compared with lower angled plates degree in relation to TAD. Method: We analysed consecutive cases of dynamic hip screw DePuy-Synthes fixation to compare TAD in various angled plates and rate of failure.

Results: The degree plate has significantly lower mean TAD There were nine failures because of superior screw cut-out in the degree plates and 0 failures in the degree plates. Conclusion: We believe the improved trajectory for lag screw placement using degree angled plates leads to a lower TAD and improved fixation in pertrochanteric fractures. Keywords: dynamic hip screw; hip fracture; sliding hip screw; tip-to-apex distance. This site needs JavaScript to work properly. Please enable it to take advantage of the complete set of features!

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Full-text links Cite Favorites. Abstract Background: The fixed-angle sliding hip screw has become a popular method of fixation for pertrochanteric hip fractures. Similar articles Additional fixations for sliding hip screws in treating unstable pertrochanteric femoral fractures AO Type A2 : short-term clinical results.

Cho SH, et al. Clin Orthop Surg. Epub May Prediction of fixation failure after sliding hip screw fixation. Pervez H, et al. PMID: Correlation between femoral offset loss and dynamic hip screw cut-out complications after pertrochanteric fractures: a case-control study.

Boukebous B, et al. Eur J Orthop Surg Traumatol. Epub Apr Alternative techniques in trochanteric hip fracture surgery. Clinical and biomechanical studies on the Medoff sliding plate and the Twin hook. Olsson O. Acta Orthop Scand Suppl. PMID: Review. Comparison of tip apex distance and cut-out complications between helical blades and lag screws in intertrochanteric fractures among the elderly: a meta-analysis. Li S, et al. J Orthop Sci. Show more similar articles See all similar articles. Publication types Comparative Study Actions.

Evaluation Study Actions. MeSH terms Adult Actions. Aged Actions. Aged, 80 and over Actions. Equipment Failure Analysis Actions. Female Actions. Humans Actions. Logistic Models Actions. Male Actions. Middle Aged Actions. Radiography Actions. Full-text links [x] Wiley. Copy Download.


130- Versus 135-degree Sliding Hip Screws and Failure in Pertrochanteric Hip Fractures

This ensures anchorage of the DHS Blade in the femoral head for different bone sizes. Indication Statement For product details such as indications, contraindications, warnings and precautions please consult the IFU and Surgical Technique. The Online Medical Device Exhibition. Applications: femoral head. View the catalog Go to the Depuy Synthes website for more information. Other Depuy Synthes products Trauma.


Hip Synthes DHS



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