Titre du document / Document title

Failure of the sliding hip screw in the treatment of femoral neck fractures: left-handed surgeons for left-sided hips'

Auteur(s) / Author(s)

MOLONEY D. ; BISHAY M. ; IVORY J. ; POZO J. ;

Affiliation(s) du ou des auteurs / Author(s) Affiliation(s)

Royal united hosp. NHS trust, Combe Park Bath BA1 3NG, ROYAUME-UNI

Résumé / Abstract

The pre-operative radiographs of 265 patients consecutively treated with sliding hip screws were reviewed. In 244 cases the fixation was for a basicervical or intertrochanteric fracture. The post-operative radiographs of these 244 patients were examined for technical failure of the fixation device. Of the 15 failures analysed, one had occurred where insufficient sliding length had been available to the screw within the barrel, and one was due to jamming of the screw within the barrel. Of the remaining 13 fixations, 12 had occurred where the screw had been poorly positioned within the femoral head, and one device had failed for no obvious reason. Malpositioning of the failures occurred significantly more frequently on the left than on the right, in a Unit where all the surgeons were right-handed

Revue / Journal Title

Injury   ISSN 0020-1383   CODEN INJUBF 

Source / Source

Congrès
British trauma Society. Annual meeting N^o5, Oxford , ROYAUME-UNI (01/10/1993)
1994, vol. 25, SUP2, pp. S-B15 (-S-B24)  (6 ref.), pp. S-B9, [Note(s) : -S-B13]

Langue / Language

Anglais

Editeur / Publisher

Elsevier, Oxford, ROYAUME-UNI  (1969) (Revue)

Mots-clés anglais / English Keywords

Fracture ; Femoral neck ; Treatment ; Osteosynthesis ; Fixation ; Internal ; Screw plate ; Failure ; Human ; Surgeon ; Mechanical loss ; Hip ; Diseases of the osteoarticular system ; Trauma ; Orthopedic surgery ;

Mots-clés français / French Keywords

Fracture ; Col fémoral ; Traitement ; Ostéosynthèse ; Fixation ; Interne ; Vis plaque ; Echec ; Homme ; Chirurgien ; Perte mécanique ; Hanche ; Système ostéoarticulaire pathologie ; Traumatisme ; Chirurgie orthopédique ;

Mots-clés espagnols / Spanish Keywords

Fractura ; Cuello fémur ; Tratamiento ; Osteosíntesis ; Fijación ; Interno ; Tornillo placa ; Fracaso ; Hombre ; Cirujano ; Pérdida mecánica ; Cadera ; Sistema osteoarticular patología ; Traumatismo ; Cirugía ortopédica ;

Localisation / Location

INIST-CNRS, Cote INIST : 15593, 35400004061645.0030