Preliminary experience with MEDGAL DHS for treatment of proximal femoral fractures

Preliminary experience with MEDGAL DHS for treatment of proximal femoral fractures

Authors

  • Danila Oldani Orthopaedic Clinic, Maggiore Hospital, Parma, Italy
  • Pietro Maniscalco Orthopedics and Traumatology Department, Guglielmo da Saliceto Hospital, Piacenza

Keywords:

pertrochanteric fractures, DHS, MEDGAL DHS

Abstract

Background and aim of the study: The Authors report their implant’s analysis and preliminary experience with a new fixation device, the MEDGAL DHS for treatment of proximal femoral fractures, producted by MEDGAL Sp.z o.o, Niewodnicka, Poland. Materials: Between January 2019 and September 2019 in Orthopedics and Traumatology Department of Piacenza, 12 patients with stable pertrocanteric fractures were treated with the MEDGAL DHS. Results: No patients presented perioperative complications with low bleeding and mean surgical time of 40 minutes. Conclusions: DHS is an optimal implant for the treatment of stable pertrochanteric femural fractures.

References

[1] Parker M, Johansen A. Hip fracture. BMJ 2006; 333: 27-30.
[2] Webb LX. Proximal femoral fractures. J South Orthop Assoc 2002; 11: 203-12.
[3] Paganini-Hill A, Chao A, Ross RK, Henderson BE. Exercise and other factors in the prevention of hip fracture: the Leisure World study. Epidemiology. 1991;2(1):16-25.
[4] Rockwood CA, Green DP, Bucholz RW. Rockwood and Green's fractures in adults. 7th ed. Philadelphia, PA: Wolters Kluwer Health/Lippincott Williams & Wilkins; 2010.
[5] Dhanwal DK, Cooper C, Dennison EM. Geographic variation in osteoporotic hip fracture incidence: the growing importance of asian influences in coming decades. J Osteoporos. 2010;2010:757102.
[6] Dynamic hip screw with trochanteric stablization plate fixation of unstable inter-trochanteric fractures: a prospective study of functional and radiological outcomes. Shetty A, Ballal A, Sadasivan AK, Hegde A. J Clin Diagn Res. 2016;10:6.
[7] Kokoroghiannis C, Aktselis I, Deligeorgis A, Fragkomichalos E, Papadimas D, Pappadas I. Evolving concepts of stability and intramedullary fixation of intertrochanteric fractures: a review. Injury. 2012;43:686–93.
[8] Parker MJ, Pryor GA. Gamma versus DHS nailing for extracapsular femoral fractures. Meta-analysis of ten randomised trials. Int Orthop. 1996;20:163–68.
[9] Barton TM, Gleeson R, Topliss C, Greenwood R, Harries WJ, Chesser TJ. A comparison of the long gamma nail with the sliding hip screw for the treatment of AO/OTA 31-A2 fractures of the proximal part of the femur: a prospective randomized trial. J Bone Joint Surg Am. 2010;92:792–98.
[10] Evolving concepts of stability and intramedullary fixation of intertrochanteric fractures—a review. Kokoroghiannis C, Aktselis I, Deligeorgis A, Fragkomichalos E, Papadimas D, Pappadas I. Injury. 2012;43:686–693.
[11] A comparison of the long gamma nail with the sliding hip screw for the treatment of AO/OTA 31-A2 fractures of the proximal part of the femur: a prospective randomized trial. Barton TM, Gleeson R, Topliss C, Greenwood R, Harries WJ, Chesser TJ. J Bone Joint Surg Am. 2010;92:792–798.
[12] Den Hartog BD, Bartal E, Cooke F. Treatment of the unstable intertrochanteric fracture: Effect of the placement of the screw, its angle of insertion, and osteotomy. J Bone Jont Surg Am 1991 Jun;73(5):726-33.
[13] Saarenpaa I, Heikkinen T, Ristiniemi J. Functional comparison of the dynamic hip screw and the gamma locking nail in trochanteric hip fractures: a matchedpair study of 268 patient, Int’l
Ortho p 2009; 33: 255 - 60

[14] Sliding screw implants for extracapsular hip fractures. Mavrogenis AF, Kouvidis G, Stavropoulos NA, Katonis P, Papagelopoulos PJ. J Long Term Eff Med Implants. 2012;22:1–10.
[15] Proximal femoral locking plate versus dynamic hip screw for unstable intertrochanteric femoral fractures. Dhamangaonkar AC, Joshi D, Goregaonkar AB, Tawari AA. J Orthop Surg. 2013;21:317–322
[16] Proximal femoral locking plate versus dynamic hip screw for unstable intertrochanteric femoral fractures. Upadhyay S, Raza HK. J Orthop Surg. 2014;22:130–131.
[17] Barton TM, Gleeson R, Topliss C, Greenwood R, Harries WJ, Chesser TJ. A comparison of the long gamma nail with the sliding hip screw for the treatment of AO/OTA 31-A2 fractures of the proximal part of the femur: a prospective randomized trial. J Bone Joint Surg Am. 2010;92:792–98.
[18] Palm H, Jacobsen S, Sonne-Holm S, Gebuhr P. Integrity of the lateral femoral wall in intertrochanteric hip fractures: an important predictor of a reoperation. J Bone Joint Surg Am. 2007;89:470–75.
[19] Hsu CE, Shih CM, Wang CC, Huang KC. Lateral femoral wall thickness. A reliable predictor of postoperative lateral wall fracture in intertrochanteric fractures. Bone Joint J. 2013;95–B:1134–38.
[20] Parker MJ (1992) Cutting-out of the dynamic hip screw related to its position. J Bone Joint Surg Br 74(4):625
[21] Hsueh K-K, Fang C-K, Chen C-M, Su Y-P, Wu H-F, Chiu F-Y (2010) Risk factors in cutout of sliding hip screw in intertro- chanteric fractures: an evaluation of 937 patients. Int Orthop 34(8):1273–1276
[22] Pervez H, Parker MJ, Vowler S (2004) Prediction of fixation fail- ure after sliding hip screw fixation. Injury 35(10):994–998

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Published

05-12-2019

How to Cite

1.
Preliminary experience with MEDGAL DHS for treatment of proximal femoral fractures. Acta Biomed [Internet]. 2019 Dec. 5 [cited 2024 May 22];90(12-S):82-5. Available from: https://www.mattioli1885journals.com/index.php/actabiomedica/article/view/8960

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