Abstract
A group of 12 patients who sustained a stable peritrochanteric fracture (Kyle I, Kyle II) were treated by means of a 130o angled blade plate. Their average age was 78 years.
The surgery was performed on the fracture table under image intensifier in the usual manner. Average duration of the surgery was 50 minutes, x-ray expo-sure 1 minute.
All patients were followed up for a minimum period of 3 months. In 9 patients the fracture healed in anatomical position, in 3 cases it healed in a slight varus position (up to 10 degrees as compared with the unaffected side).
Varus position was caused once by insufficient reduction, and twice a slight varus displacement in the postoperative period resulted most probably from excessive weight bearing and osteoporosis. With regard to the unequivocal result it may be stated that the plate may be successfully used for the treatment of stable peritrochanteric fractures.
However, of great importance is a correct surgical technique, i.e. anatomical reduction, insertion of the plate through the centre of the neck in both planes and the blade tip must reach the space between the centre of the head an the joint line.