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Seins Heimer

This document classifies subtrochanteric fractures into 5 types based on the number of bone fragments and fracture pattern. Type I are nondisplaced fractures with less than 2mm of displacement. Types II-III are two and three part fractures that can be transverse, spiral, or butterfly patterns. Type IV are comminuted fractures with 4 or more fragments. Type V include fractures that extend from the subtrochanteric region into the greater trochanter. Implant failures and non-unions are more common in Types III-IV, so an AO 95 degree Condylar Screw/Blade Plate is recommended.

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23 views

Seins Heimer

This document classifies subtrochanteric fractures into 5 types based on the number of bone fragments and fracture pattern. Type I are nondisplaced fractures with less than 2mm of displacement. Types II-III are two and three part fractures that can be transverse, spiral, or butterfly patterns. Type IV are comminuted fractures with 4 or more fragments. Type V include fractures that extend from the subtrochanteric region into the greater trochanter. Implant failures and non-unions are more common in Types III-IV, so an AO 95 degree Condylar Screw/Blade Plate is recommended.

Uploaded by

greyfreyfei
Copyright
© Attribution Non-Commercial (BY-NC)
We take content rights seriously. If you suspect this is your content, claim it here.
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Download as DOCX, PDF, TXT or read online on Scribd
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Seinsheimer's Classification of Subtrochanteric Frxs

- Type I: - nondisplaced frx: < 2 mm of displacement of frx frags; - Type II: two part fractures: - IIA: Two part transverse femoral fracture; - IIB: Two part spiral frx w/ lesser troch attached to prox frag; - IIC: Two part spiral frx w/ lesser troch attached to distal fragment; - Type III: three part fractures: - IIIA: - three part spiral frx in which lesser troch is part of 3rd frag, which has an inferior spike of cortex of varying length; - implant failures and non-unions are common; - IIIB: - three part spiral frx of proximal 1/3 of femur, w/ third part butterfly fragment; - Type IV: - comminuted frxs w/ 4 or more fragments; - implant failures and non-unions are common; - consider use of AO 95 deg Condylar Screw / Blade Plate: - Type V: - subtrochanteric intertrochanteric fractures; - this group includes any subtroch frx w/ extension thru greater troch; - consider use of AO 95 deg Condylar Screw / Blade Plate:

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