TITLE:
Is There Still a Place for the Staca Nail Plate in the Osteosynthesis of Trochanteric Fractures? Results from 52 Cases in a Regional Hospital in a Developing Country
AUTHORS:
M. Sawadogo, H. Kafando, A. J. I. Ouedraogo, S. Ouedraogo, A. S. Korsaga, S. Tinto, C. O. Ouedraogo, C Darga
KEYWORDS:
Fracture, Trochanter, Staca, Nail-Plate, Burkina Faso
JOURNAL NAME:
Open Journal of Orthopedics,
Vol.8 No.4,
April
8,
2018
ABSTRACT: The synthesis of trochanteric fractures has evolved
considerably since the use of the Staca nail-plate in 1964. This implant,
despite its age, remains a solid and reliable material for the synthesis of
this type of fracture. Objective: To evaluate the anatomo-clinical and
functional results of Staca nail-plate osteosynthesis of trochanteric fractures
at the Regional University Hospital of Ouahigouya in Burkina Faso. Methods:
We performed a retrospective study of 52 trochanteric fractures treated by
Staca nail-plate in the regional university hospital of Ouahigouya between June
2007 and June 2017. There were 10 women and 42 men with a mean age of 61 years
(range 17 years to 89 years). Ten stable type I and II of Ender classification
fractures and 42 unstable fractures were recorded, including four
pseudarthrosis and six vicious calluses. The anterolateral approach was used in
all cases. In the absence of an image intensifier, we performed an arthrotomy
to identify the femoral neck and set up a guide pin. Results: The
reduction was satisfactory with stable synthesis in 39 cases. At last
follow-up, consolidation was effective in all patients, except one. Two cases
of acetabular protrusion were noted, requiring early removal of equipment.
Fifty-one patients were autonomous. The overall results were considered
satisfactory. Conclusion: The Staca nail-plate remains a means of solid
osteosynthesis. Although it is no longer relevant in industrialized countries,
it provides comparable results to new implants for the osteosynthesis of
trochanteric fractures. Because of its low cost, its abandonment is not justified
in low-income countries.