Journal of Bone and Joint Surgery, 1973;55:1367-1376.
© 1973 by The Journal of Bone and Joint Surgery, Inc
The Management of Comminuted Unstable Intertrochanteric Fractures
KEVIN D. HARRINGTON M.D.1 and
JAMES O. JOHNSTON M.D.1
1 From the Department of Orthopaedic Surgery, University of California at San Francisco, and the Department of Orthopaedic Surgery, The Kaiser-Permanente Medical Center, Oakland
A modification of the medial displaced osteotomy and fixation technique of Dimon and Hughston for the operative management of unstable comminuted intertrochanteric fractures of the hip using a sliding compression screw-plate combination was performed in seventy-two patients who were followed more than twelve months after operation. Sixty-seven fractures progressed to rapid union with good valgus reduction maintained. Sixty patients were allowed full weight-bearing on the affected extremity within eight days of the operation. The average time to fracture union in this group was three and one-half months.