Albert Tang
Tameside General Hospital, UK
Title: Systematic review and audit of our series of Intracapsular Fracture fixation using a new implant; Targon FN Plate system with tips learned from our experience
Biography
Biography: Albert Tang
Abstract
The two most commonly used implants for the fixation of intra-capsular fractures of the neck of the femur are the multiple parallel screw method and the sliding hip screw method. The sliding screw allowed for collapse of the bone at the fracture site and the multiple screw technique allowed for rotational stability. These two implants have been compared in their various features in six randomised trials using 772 participants. With sliding screws the incidence of fracture healing complications were lower (28% versus 33%). The sliding hip screw was associated with more wound healing complications probably due to the slightly longer time needed for the procedure. The Targon is a design which incorporates the advantageous features of both implants. This device provides the rotational stability and the lateral support. The implant is Magnetic Resonance Imaging compatible. Our series in a district general hospital involves 09 cases performed over a period of 10months. The average operating time is 45minutes and the average follow up period is 06 weeks. We found that removing the handle of the jig helps to manoeuvre the jig more easily especially in the case obese patients. We conclude from our limited experience that Targon device appears to be a promising implant in the treatment of intra-capsular fractures of the femur.