Bridge-plating osteosynthesis of 20 XXXX with dynamic hip screw.

@entity1 @entity174 @entity532 @entity173 @entity158
BACKGROUND: A prospective clinical trial was conducted to evaluate the conjunctive use of an extramedullary device and the bridge-plating technique in the treatment of @entity173 with major extension into the femoral shaft. METHODS: A Winquist criteria was used to classify 3 @entity174 patterns. The type 3 @entity174 were excluded from this study because of great extent of the @entity174 zone for which the bridge-plating technique is not indicated. There were 14 @entity1 and 6 @entity1 , with a mean age of 49 (range, 17-76) years. A dynamic hip screw (DHS) with a long side plate was chosen as the fixation device because of the small learning curve. RESULTS: The @entity174 united at a mean of 7.6 (range, 3-15) months postoperatively. Mobility was scored at 9 points in 18 @entity1 and 6 points in 2 @entity1 (Mobility score of Parker _ Palmer). @entity158 was absent in 14, mild in 3, and moderate in 3 @entity1 . Two limbs were shortened by 1 and 1.5 cm, respectively. CONCLUSION: Our results indicate that DHS fixation using the bridge-plating technique leads to union of all comminuted Winquist types 1 and 2 @entity174 without @entity532 , and it is a valuable alternative to new intramedullary devices. This procedure offers the significant advantage of being less technically demanding.
