Treatment of intertrochanteric femur fractures with 95A° fixed-angle blade plate in elderly patients

In this study, we aimed to evaluate the results of treatment of intertrochanteric femur fractures fixation with a 95A degrees fixed-angle blade plate in elderly patients. Fifty-eight patients with intertrochanteric femoral fractures were treated with 95A(0) fixed-angle blade plate. There were 32 female and 26 male patients. The fractures resulted from a simple fall in 42 patients, a motor vehicle accident in 6, and a fall from a height in 10 patients. The mean clinical follow-up was 27 months. Clinical outcomes were evaluated according to the American Academy of Orthopeadic Surgeons' criteria. Shortening greater than 2 cm was noted in these patients at last follow-up as a result of varus malunion, plate bending developed only in 3 patients, and the loss of reduction developed in two patients, but reoperation was not needed. According to these criteria, results were poor in 2 patients, fair in 6, good in 16 and excellent in 31 patients. Consequently, 95A degrees fixed-angle blade plates could be thought as a proper alternative technique due to their easy applicability, low learning curve and complication rates.