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Complications of Femoral Pertrochanteric Fractures Treated with Proximal Femoral Nail (PFN)
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Kee Byoung Lee, Byung Taek Lee
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J Korean Fract Soc 2007;20(1):33-39. Published online January 31, 2007
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DOI: https://doi.org/10.12671/jkfs.2007.20.1.33
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 Abstract
 PDF
- PURPOSE
We analyzed the complications of femoral pertrochanteric fractures treated with proximal femoral nail (PFN®) to reduce the its complications.
MATERIALS AND METHODS
We evaluated the complications among 198 patients who were treated with PFN® from June 2001 to August 2005 in our hospital.
RESULTS
The complications were presented in 28 cases (14.1%). Cut-out of lag screw was in 1 case, cut-out of lag screw and antirotation screw were in 3 cases, cut-out of antirotation screw in 3 cases, of these femoral head fracture was in 1 case. Femoral neck fracture in 1 case, Osteonecrosis of femoral head in 1 case, cortical fracture during the insertion of distal interlocking screw in 1 case, breakage of drill bit intraoperatively in 1 case, fibrous union in 2 case, thigh skin irritation due to screw back-out in 3 cases, periprosthetic fractures in 2 cases, varus collapse more than 10 degrees in 4 cases, superficial and deep infections in 3 cases, breakage of nail in 1 case, varus collapse after PFN removal in 1 case, persistent thigh pain in 1 case. Of all these cases, 9 cases (4.5%) were required reoperation with general or spinal anesthesia. Complications related with screws or fracture reduction were 19 cases (9.6%) and, of these, 17 cases (89.5%) showed increased TAD (tip apex distance) or nonanatomical reduction.
CONCLUSION
To reduce the complications of PFN®, we need to exact surgical technique and anatomical reduction and consider the modification of implant design to prevent of cut-out of screws.
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Citations
Citations to this article as recorded by  - Proximal Femoral Nail Mechanical Failure: A Case Report and Biomechanical Study
Dimitrios Papanikolopoulos, Christos Kalligeros, Apostolos Polyzos, Vasileios Spitas, Vasileios Soranoglou
Cureus.2022;[Epub] CrossRef - Clinical and radiological outcomes of patients treated with the talon distalfix proximal femoral nail for intertrochanteric femur fractures
Furkan Yapici, Hanifi Ucpunar, Yalkin Camurcu, Necati Emirhan, Oguzhan Tanoglu, Ismail Tardus
Injury.2020; 51(4): 1045. CrossRef - Implant Fracture Analysis of the TFNA Proximal Femoral Nail
Anton Lambers, Bertram Rieger, Alan Kop, Peter D’Alessandro, Piers Yates
Journal of Bone and Joint Surgery.2019; 101(9): 804. CrossRef - Radiographic Outcomes of Osteosynthesis Using Proximal Femoral Nail Antirotation (PFNA) System in Intertrochanteric Femoral Fracture: Has PFNA II Solved All the Problems?
Won Chul Shin, Jung Dong Seo, Sang Min Lee, Nam Hoon Moon, Jung Sub Lee, Kuen Tak Suh
Hip & Pelvis.2017; 29(2): 104. CrossRef - Avascular necrosis of the femoral head following trochanteric fractures in adults: A systematic review
Antonio Barquet, Gabriel Mayora, Joao Matheus Guimaraes, Roberto Suárez, Peter V. Giannoudis
Injury.2014; 45(12): 1848. CrossRef - Anatomical Measurement of Normal Korean Proximal Femur Using Plain Radiography: A Problem when using Proximal Femoral Nail Anti-rotation
Jong-Seok Park, Woo-Jong Kim, Jae-Wan Soh, Byung-Woong Jang, Tae-Heon Kim, You-Sung Suh
Hip & Pelvis.2011; 23(4): 303. CrossRef - PFNA and PFN in Intertrochanteric Fractures - Comparison Study of Sliding -
Suk Kyu Choo, Hyoung Keun Oh, Jun Young Choi
Hip & Pelvis.2010; 22(1): 79. CrossRef
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A Clinical Analysis of Treatment of the Fracture of the Proximal Humerus
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Sang Won Park, Soon Hyuck Lee, Seung Bum Han, Byung Taek Lee
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J Korean Soc Fract 2000;13(2):397-405. Published online April 30, 2000
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DOI: https://doi.org/10.12671/jksf.2000.13.2.397
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Abstract
PDF
- PURPOSE
: Fracture of proximal humerus is adjacent to shoulder joint which has an almost global range of motion, thus respond satisfactorily to conservative treatment, but displaced fracture needs accurate diagnosis and proper treatment. We analyzed the type of treatments and results of proximal humeral fractures MATERIALS AND METHODS : Fifty nine cases of fractures of the proximal humerus which were treated from January 1992 to February 1998 were analyzed according to Neer's classification.
RESULTS
: Among the 59 cases, 26 cases were treated conservatively, 19 cases(73.1%) had excellent or satisfactory results and 33 cases were treated operatively, 23 cases(69.7%) had excellent or satisfactory results. All one-part fractures(6 cases) were treated conservatively and had excellent or satisfactory results. but in three-part fracture(17 cases), 3 cases(42.8%) who were treated conservatively and 7 cases(70.0%) who were treated operatively had excellent or satisfactory results and no significant difference was shown according to method of operation All four-part fractures(3 cases) were treated operatively, and only 1 cases(33.3%) had satisfactory results.
CONCLUSION
: We can treat conservatively or operatively in one-part or two-part fractures but consider the percutaneous pin fixation or minimal soft tissue dissection in three-part fractures.
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