The Treatment of Unstable Reverse Oblique Intertrochanteric Fractures with Proximal Femoral Nail (PFN)

Yoo, Je Hyun; Yang, Kyung‐Soo; Park, Si Young; Won, Jung Hoon; Yoon, Han Kook

doi:10.4055/jkoa.2005.40.6.733

Cited by 4 publications

(1 citation statement)

References 0 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…그동안 불안정 대퇴골 전자간 골절의 치료 시에 압 박고 나사, 골수정이 주로 사용되어 왔으며 그 중 골수정 은 적은 절개를 통해 연부조직의 손상을 줄일 수 있고, 생 역학적으로 압박고 나사에 비해 고정물의 실패가 적으며, 조기 재활 및 체중 부하가 가능하여 가장 적합한 치료 방 법으로 알려져 있다 3, 14,25) . 하지만 술 중에 골절의 안정적 정복을 얻지 못하였거나 광범위하게 골절주위 연부조직을 절개를 한 경우 등은 근위 골편의 내반 변형, 지연나사의 골두천공, 불유합, 부정유합 등의 합병증을 초래하여 저자 들마다 다소 차이가 있지만 4∼57%의 고정 실패가 보고되 고 있다 1,3,9,22) .…”

unclassified

Unstable Intertrochanteric Femoral Fracture Treated with Mini-incision Reduction Technique and Intramedullary Nail

Kim

2010

J Korean Fract Soc

View full text Add to dashboard Cite

Purpose:To evaluate the efficacy of mini-incision reduction technique in unstable intertrochanteric femoral fracture treated with intramedullary nail. Materials and Methods: From January, 2005 to December, 2007, we selected 26 patients of unstable intertrochanteric femoral fracture which underwent anatomic reduction by mini-incision reduction technique using various instruments, and treated with intramedullary nail. We evaluated the radiological results with the union time, change of femoral neck-shaft angle and distance of lag screw sliding by follow-up radiography, and the clinical results with the mobility score of Parker and Palmer, Salvati and Wilson hip function scoring system and Jensen index. Results: The mean union time was 18.9 weeks. The mean changes of femoral neck-shaft angle was 4.1 degree. The mean distance of lag screw sliding was 4.4 mm. Decrease of mobility score of Parker and Palmer, Salvati and Wilson hip function score was showed, and social function score of Jensen maintained 54% compared with preoperative score. Conclusion: Mini-incision reduction technique using various instruments showed satisfactory clinical and radiological results, and we believe that it is a recommendable method in unstable intertrochanteric femoral fracture which manual reduction is difficult.

show abstract

unclassified

Unstable Intertrochanteric Femoral Fracture Treated with Mini-incision Reduction Technique and Intramedullary Nail

Kim

2010

J Korean Fract Soc

View full text Add to dashboard Cite

show abstract

Results of Use of Compression Hip Screw with Trochanter Stabilizing Plate for Reverse Oblique Intertrochanteric Fracture

et al. 2014

View full text Add to dashboard Cite

A Comparison of Intramedullary and Extramedullary Fixations for the Treatment of Reverse Oblique or Transverse Intertrochanteric Femoral Fractures

2012

View full text Add to dashboard Cite

Purpose:This study was designed to compare the clinical and radiological results of intramedullary fixation to those of extramedullary fixation in patients with reverse oblique or transverse intertrochanteric femoral fractures. Materials and Methods:We retrospectively reviewed 39 cases of reverse oblique or transverse intertrochanteric femoral fractures between September 2001 and December 2010. There were 20 cases treated with intramedullary fixation (Group I) and 19 cases treated with extramedullary fixation (Group II). The operative time, intraoperative blood loss, amount of blood transfused, hospital day, and time to bone union were compared between the two groups. Radiologically, the position and sliding length of the lag screw or blade, change of femoral neck-shaft angle, and medialization of distal fragment were compared. Also, complications were assessed. Results: The mean operative time was 87.8 minutes with Group I and 153.8 minutes with Group II. The mean intraoperative blood loss was 375.0 ml with Group I and 1,015.8 ml with Group II. The mean amount of transfusion was 555.5 ml with Group I and 801.6 ml with Group II. The mean time to bone union was 12.1 weeks with Group I and 18.1 weeks with Group II. There were no statistical differences in other parameters between the two groups. Conclusion: The intramedullary fixation group revealed better results in the aspects of invasiveness and time to bone union in comparison with the extramedullary fixation group for the treatment of reverse oblique or transverse intertrochanteric femoral fractures.

show abstract

The Treatment of Unstable Reverse Oblique Intertrochanteric Fractures with Proximal Femoral Nail (PFN)

Cited by 4 publications

References 0 publications

Unstable Intertrochanteric Femoral Fracture Treated with Mini-incision Reduction Technique and Intramedullary Nail

Unstable Intertrochanteric Femoral Fracture Treated with Mini-incision Reduction Technique and Intramedullary Nail

Results of Use of Compression Hip Screw with Trochanter Stabilizing Plate for Reverse Oblique Intertrochanteric Fracture

A Comparison of Intramedullary and Extramedullary Fixations for the Treatment of Reverse Oblique or Transverse Intertrochanteric Femoral Fractures

Contact Info

Product

Resources

About