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Please use this identifier to cite or link to this item: http://hdl.handle.net/20.500.12710/12500
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dc.contributor.authorElpujan, Vitalia-
dc.date.accessioned2020-11-03T12:46:33Z-
dc.date.available2020-11-03T12:46:33Z-
dc.date.issued2016-
dc.identifier.citationELPUJAN, Vitalia. Peculiarities of surgical treatment in trochanteric fractures. In: MedEspera: the 6th Internat. Medical Congress for Students and Young Doctors: abstract book. Chișinău: S. n., 2016, p. 176.en_US
dc.identifier.urihttp://repository.usmf.md/handle/20.500.12710/12500-
dc.descriptionOrthopedics and Traumatology Department, Nicolae Testemitanu State University of Medicine and Pharmacy, Chisinau, Republic of Moldova, The 6th International Medical Congress for Students and Young Doctors, May 12-14, 2016en_US
dc.description.abstractIntroduction: Trochanteric fractures are common for elderly and young patients. Around 50% of hip fractures are the trochanteric ones. The average age of the patients with this type of fracture is 75- 79 years old. The purpose of this study was to evaluate the treatment of trochanteric hip fractures with different surgical techniques. Treatment goals for most of these patients included early mobilization with restoration of the anatomic alignment of the proximal part of the femur and the maintenance of the fracture reduction. Materials and methods: This prospective study includes 52 patients with trochanteric fractures, 15 men and 37 women hospitalized in the 2-nd department of the Clinical Hospital of Orthopedics and Traumatology, Chisinau, from January 2014 to March 2015. All the patients were treated surgically. The average patient’s age was 69 years, the youngest one was of 18 years old and the oldest one was of 83 years old. Using the Evan's system of classification, 10 patients had an Evans II, 6 patients had an Evans III, 14 patients had an Evans IV and 22 patients had an Evans V. In our study patients were treated using mainly 2 methods: 24 patients with trochanteric fractures were treated using 95º blade plate and 22 patients using hip artroplasty. Other implants were used as follows: Dynamic Hip Screw at 2 patients, Gama Nail at 2 patients and Dynamic Compression Screw 1 patient, and 130º blade plate at 1 patient. Results: The research was based on 52 medical cases. The hip arthroplasty was performed in patients over 70 years, with a marked degree of osteoporosis and unstable trochanteric fractures. The hip arthroplasty in trochanteric fractures was made using the following types of prosthesis: Zimmer Total Cimented - 2 patients, PAVI-ATLAS Total Uncimented – 4 patients, Zimmer cemented bipolar – 10 patients and Austin Moore – 6 patients. All the implants were well accepted and none of patients had significant difficulties while sitting or lying. Conclusion: In our study the surgical treatment remains the method of choice in the treatment of trochanteric fractures and it is welcomed to be performed, although it is difficult to make any type of internal fixation technically. Hip replacement is a successful procedure for the elderly persons with osteoporosis and unstable trochanteric fractures. The use of hip arthroplasty (total or hemiarthroplasty) in the treatment of trochanteric fractures made possible to accelerate patient’s mobilization and movement, therefore we have maximized the patient’s functional recovery.en_US
dc.language.isoenen_US
dc.publisherMedEsperaen_US
dc.subjecttrochanteric fracturesen_US
dc.subjecthip arthroplastyen_US
dc.subjectinternal fixationen_US
dc.titlePeculiarities of surgical treatment in trochanteric fracturesen_US
dc.typeArticleen_US
Appears in Collections:MedEspera 2016

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