Pertrochanteric fractures are a highly relevant topic not only because of the high frequency or age of the population concerned, but also because of comorbidity (osteoporosis, malnutrition, decreased physical activity, decreased visual acuity, neurological deficits, asthenia, disorders of the equilibrium and impaired reflexes) and the mortality associated with this type of fractures. The cut-out of the cervical screw is a mechanical complication common to different means of osteosynthesis of pertrochanteric fractures, this complication significantly increases the morbidity. From January 2013 to May 2019, out of a total of 340 patients having had surgery for pertrochanteric fracture, 12 cases of cervical screw cut-out were recorded within the Brugmann University Hospital. The average follow-up after surgery was 18 months. This study analyses different parameters and their link with cervical screw cut-outs, and compares the results with the ones published in the scientific literature.
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Ender Classification
Timeframe: 5 minutes
Bone quality
Timeframe: 5 minutes
Type of osteosynthesis
Timeframe: 5 minutes
Correct positioning of the screw
Timeframe: 5 minutes
Delay between fracture and screw cut-off
Timeframe: up to 18 months
Tip Apex Distance (TAD)
Timeframe: 5 minutes
Parker ratio
Timeframe: 5 minutes
Age
Timeframe: 5 minutes
Sex
Timeframe: 5 minutes