Awareness of tip-apex distance reduces failure of fixation of trochanteric fractures of the hip

• Published in: Journal of bone and joint surgery. British volume Vol. 79; no. 6; pp. 969 - 971
• Main Authors: BAUMGAERTNER, M. R, SOLBERG, B. D
• Format: Journal Article
• Language: English
• Published: London British Editorial Society of Bone and Joint Surgery 01.11.1997; British Editorial Society of Bone & Joint Surgery
• Edition: British volume
• Subjects: Aged; Aged, 80 and over; Biological and medical sciences; Bone Screws - adverse effects; Chi-Square Distribution; Equipment Failure; Evaluation Studies as Topic; Female; Femur Head - diagnostic imaging; Femur Head - pathology; Femur Head - surgery; Follow-Up Studies; Forecasting; Fracture Fixation, Internal - adverse effects; Fracture Fixation, Internal - instrumentation; Fracture Fixation, Internal - methods; Hip Fractures - diagnostic imaging; Hip Fractures - pathology; Hip Fractures - surgery; Humans; Joint Dislocations - diagnostic imaging; Joint Dislocations - pathology; Joint Dislocations - surgery; Male; Medical sciences; Orthopedic surgery; Radiography; Retrospective Studies; Stress, Mechanical; Surface Properties; Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases; Treatment Outcome; Human; Positioning; Femur; Radiodiagnosis; Diseases of the osteoarticular system; Internal; Lower limb; Exploration; Intraoperative; Trauma; Intertrochanteric fracture; Hip; Result; Radiography; Orthopedic surgery; Fixation; Treatment; Screw; Bone; Technique

We compared the results of the surgical treatment of trochanteric hip fractures before and after surgeons had been introduced to the tip-apex distance (TAD) as a method of evaluating screw position. There were 198 fractures evaluated retrospectively and 118 after instruction. The TAD is the sum of t...