Orthopedic & Muscular System: Current Research
Open Access

Double angle barrel plate in the management of proximal hip disorders

International Conference and Expo on Biomechanics & Implant Design

July 27-29, 2015 Orlando, USA

N K Magu

Posters-Accepted Abstracts: Orthop Muscular Syst

Abstract :

Angled blade plates and a DHS have traditionally been used in the management of extra capsular & intra-capsular femoral neck fractures; and intertrochanteric osteotomies. Implant cut out, intra-articular penetration of blade and non-union are the common complications. The author has innovated a 120 degree double angle barrel plate. The implant when used with traditional Dynamic hip screw permits guided collapse to achieve union in acute and neglected femoral neck fractures, fractures with failed osteosynthesis; and delayed union of intertrochanteric osteotomies with remarkable results. The implant has overcome the technical difficulties of seating blade of the standard 120 degree AO double angle blade plate in the inferior quadrant of the head of the femur, has zero incidence of intra-articular penetration and implant cut out; and proved its usefulness in preserving the head of the femur in patients with failed osteosynthesis. The limitation of performing lateralization of distal femoral fragment is currently under study to prevent genu valgum and shortening likely with medicalization. The implant has become the gold standard in performing an intertrochanteric osteotomy in neglected femoral neck fractures and the ones with failed osteosynthesis. The principle of innovation and results of hip disorders shall be presented.