Trauma Monthly

Published by: Kowsar

External Fixation vs. Skeletal Traction for Treatment of Intertrochanteric Fractures in the Elderly

Gholam Hossein Kazemian 1 , Mohammad Emami 1 , Alireza Manafi 1 , Farideh Najafi 1 , * and Mohammad Amin Najafi 2
Authors Information
1 Department of Orthopedic Surgery, Imam Hossein Hospital, Shahid Beheshti University of Medical Sciences, Tehran, IR Iran
2 Medical Student Research Center, Isfahan University of Medical Sciences, Isfahan, IR Iran
Article information
  • Trauma Monthly: February 1, 2016, 21 (1); e15477
  • Published Online: February 6, 2016
  • Article Type: Research Article
  • Received: October 18, 2013
  • Revised: November 9, 2013
  • Accepted: January 28, 2014
  • DOI: 10.5812/traumamon.15477

To Cite: Kazemian G H, Emami M, Manafi A, Najafi F, Najafi M A. External Fixation vs. Skeletal Traction for Treatment of Intertrochanteric Fractures in the Elderly, Trauma Mon. 2016 ; 21(1):e15477. doi: 10.5812/traumamon.15477.

Copyright © 2016, Trauma Monthly. This is an open-access article distributed under the terms of the Creative Commons Attribution-NonCommercial 4.0 International License ( which permits copy and redistribute the material just in noncommercial usages, provided the original work is properly cited.
1. Background
2. Objectives
3. Patients and Methods
4. Results
5. Discussion
  • 1. Lindskog DM, Baumgaertner MR. Unstable intertrochanteric hip fractures in the elderly. J Am Acad Orthop Surg. 2004; 12(3): 179-90[PubMed]
  • 2. Scott IH. Treatment of intertrochanteric fractures by skeletal pinning and external fixation. Clin Orthop. 1957; 10: 326-34[PubMed]
  • 3. Magyar G, Toksvig-Larsen S, Moroni A. Hydroxyapatite coating of threaded pins enhances fixation. J Bone Joint Surg Br. 1997; 79(3): 487-9[PubMed]
  • 4. Moroni A, Faldini C, Pegreffi F, Hoang-Kim A, Vannini F, Giannini S. Dynamic hip screw compared with external fixation for treatment of osteoporotic pertrochanteric fractures. A prospective, randomized study. J Bone Joint Surg Am. 2005; 87(4): 753-9[DOI][PubMed]
  • 5. Moroni A, Heikkila J, Magyar G, Toksvig-Larsen S, Giannini S. Fixation strength and pin tract infection of hydroxyapatite-coated tapered pins. Clin Orthop Relat Res. 2001; (388): 209-17[PubMed]
  • 6. Wang JQ, Hu L, Su YG, Zhao CP, Wang BB, Zhong XD, et al. [Primary clinical application of traction reductor for lower limb fracture]. Zhonghua Wai Ke Za Zhi. 2010; 48(18): 1425-9[PubMed]
  • 7. Baumgaertner MR, Curtin SL, Lindskog DM, Keggi JM. The value of the tip-apex distance in predicting failure of fixation of peritrochanteric fractures of the hip. J Bone Joint Surg Am. 1995; 77(7): 1058-64[PubMed]
  • 8. Vekris MD, Lykissas MG, Manoudis G, Mavrodontidis AN, Papageorgiou CD, Korompilias AV, et al. Proximal screws placement in intertrochanteric fractures treated with external fixation: comparison of two different techniques. J Orthop Surg Res. 2011; 6: 48[DOI][PubMed]
  • 9. The Orthofix Pertrochanteric Fixator. Operative technique. 1998;
  • 10. Parker MJ. Cutting-out of the dynamic hip screw related to its position. J Bone Joint Surg Br. 1992; 74(4): 625[PubMed]
  • 11. Dahl MT, Gulli B, Berg T. Complications of limb lengthening. A learning curve. Clin Orthop Relat Res. 1994; (301): 10-8[PubMed]
  • 12. Hamidi V, Ringerike T, Hagen G, Reikvam A, Klemp M. New anticoagulants as thromboprophylaxis after total hip or knee replacement. Int J Technol Assess Health Care. 2013; 29(3): 234-43[DOI][PubMed]
  • 13. Harris WH. Traumatic arthritis of the hip after dislocation and acetabular fractures: treatment by mold arthroplasty. An end-result study using a new method of result evaluation. J Bone Joint Surg Am. 1969; 51(4): 737-55[PubMed]
  • 14. Cole PA, Bhandari M. What's new in orthopaedic trauma. J Bone Joint Surg Am. 2006; 88(11): 2545-61[DOI][PubMed]
  • 15. Gotfried Y, Frish E, Mendes DG, Roffman M. Intertrochanteric fractures in high risk geriatric patients treated by external fixation. Orthopedics. 1985; 8(6): 769-74[PubMed]
  • 16. Kamble KT, Murthy BS, Pal V, Ráo KS. External fixation in unstable intertrochanteric fractures of femur. Injury. 1996; 27(2): 139-42[DOI]
  • 17. Christodoulou NA, Sdrenias CV. External fixation of select intertrochanteric fractures with single hip screw. Clin Orthop Relat Res. 2000; (381): 204-11[PubMed]
  • 18. Vossinakis IC, Badras LS. Management of pertrochanteric fractures in high-risk patients with an external fixation. Int Orthop. 2001; 25(4): 219-22[PubMed]
  • 19. Vossinakis IC, Badras LS. The external fixator compared with the sliding hip screw for pertrochanteric fractures of the femur. J Bone Joint Surg Br. 2002; 84(1): 23-9[PubMed]
  • 20. Badras L, Skretas E, Vayanos ED. The use of external fixation in the treatment of trochanteric fractures. Rev Chir Orthop . 1997; 83: 461-5
  • 21. Buckley JR, Caiach SM. External fixation in comminuted upper femoral fractures. Injury. 1993; 24(7): 476-8[DOI]
  • 22. Dhal A, Singh SS. Biological fixation of subtrochanteric fractures by external fixation. Injury. 1996; 27(10): 723-31[DOI]
  • 23. Bridle SH, Patel AD, Bircher M, Calvert PT. Fixation of intertrochanteric fractures of the femur. A randomised prospective comparison of the gamma nail and the dynamic hip screw. J Bone Joint Surg Br. 1991; 73(2): 330-4[PubMed]
  • 24. Grosse A, Taglalang G. Gamma locking nail: surgical technique. 1992;
  • 25. Friedman BA. An analysis of surgical blood use in United States hospitals with application to the maximum surgical blood order schedule. Transfusion. 1979; 19(3): 268-78[DOI]
  • 26. Adams CI, Robinson CM, Court-Brown CM, McQueen MM. Prospective Randomized Controlled Trial of an Intramedullary Nail Versus Dynamic Screw and Plate for Intertrochanteric Fractures of the Femur. Journal of Orthopaedic Trauma. 2001; 15(6): 394-400[DOI]
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