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Minimally Invasive Dynamic Hip Screw

2004; Lippincott Williams & Wilkins; Volume: 18; Issue: 4 Linguagem: Inglês

10.1097/00005131-200404000-00003

1531-2291

Abdelrazzaq Alobaid, Edward J. Harvey, Graham Elder, P. Lander, Pierre Guy, Rudolf Reindl,

Cardiac, Anesthesia and Surgical Outcomes

Objective This study evaluates the safety and outcome of a minimally invasive technique for inserting a standard dynamic hip screw for intertrochanteric fractures. Hypothesis The use of standard plate in a minimally invasive technique is both possible and advantageous to patient outcome. Design and Methods Prospective surgeon-randomized blinded outcome clinical study comparing new technique to conventional technique. Main Outcome Measure Pain, operative time and mean hemoglobin drop in percutaneous hip fixation. Results The minimally invasive technique had significantly less blood loss (P < 0.001), operative time (P < 0.001) and a trend to less morphine use. Conclusions Minimal invasive technique significantly reduces blood loss and operative time for fixation of intertrochanteric hip fractures without sacrifice of fixation stability or bone healing.