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Proximal Femoral Nail(PFN) for Femur Intertrochanteric Fracture
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Dong Kyu Shin, Koing Woo Kwun, Shin Kun Kim, Sang Wook Lee, Chang Hyuk Choi, Kyung Min Kim
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J Korean Soc Fract 2002;15(3):328-335. Published online July 31, 2002
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DOI: https://doi.org/10.12671/jksf.2002.15.3.328
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 Abstract
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- PURPOSE
This prospective study was performed to evaluate the usefulness and the risk of the Proximal Femoral Nail(PFN) for internal fixation of the femur intertrochanteric fracture.
MATERIALS AND METHOD
We operated 26 consecutive intertrochanteric fracture patients with PFN from June 2000 to May 2001 and analysed the operation time, bleeding loss, union rate, union time, failure of fixation and complications. We also evaluated the clinical result with the recovery of ambulatory function and functional recovery score.
RESULTS
Mean operation time was 72 minutes and mean transfusion amount was 0.54 unit. 24 cases progressed to union until 4 months uneventfully and remaining 2 cases also progressed to union within 6months without further operation. There was no failure of fixation. Mean fracture site impaction was 4.4mm and among the 11 unstably reduced cases 3 showed overimpaction(> 10mm). Clinically mean loss of ambulation ability was 1.4 grade. Last follow Skovoron functional recovery score was 72.2. We removed laterally protruded hip pin and femur neck screws in two cases because of irritation on the lateral trochanteric area skin. But there was no significant complications such as intraoperative or postoperative fractures and femoral head cut out.
CONCLUSION
The findings from this study indicate that, compared with other methods, PFN is useful and reliable choice for the femur intertrochanteric fracture treatment in the terms of less complications and equal or better results.
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Citations
Citations to this article as recorded by  - GS Hip Nail versus Affixus Hip Fracture Nail for the Intramedullary Nailing of Intertrochanteric Fractures
Seungcheol Kwon, Minjae Lee, Heeyeon Lee, Jihyo Hwang
Journal of Clinical Medicine.2023; 12(21): 6720. CrossRef - Treatment of the Proximal Femoral Fracture Using the New Design Cephalomedullary Nail: Prospective Outcomes Study
Young Ho Roh, Joseph Rho, Kwang Woo Nam
Journal of the Korean Fracture Society.2019; 32(1): 35. CrossRef - Treatment of Intertrochanteric Fractures Using the Compression Hip Nail
Je-Min Yi, Kye Young Han, Keun Woo Kim, Chang Hyun Ryu
Hip & Pelvis.2014; 26(3): 166. CrossRef - Unstable Intertrochanteric Fracture Treated with ITST: A Comparative Study between Groups with and without Comminution of Greater Trochanter
Kyung-Sub Song, Sang-Ho Lee, Seong-Hun Jeong, Su-Keon Lee, Sung-Ha Hong
Journal of the Korean Fracture Society.2014; 27(1): 36. CrossRef - Treatment of Unstable Pertrochanteric Fractures with a Long Intramedullary Nail
Phil Hyun Chung, Suk Kang, Jong Pil Kim, Young Sung Kim, Ho Min Lee, Dae Jung Huh
Hip & Pelvis.2013; 25(1): 51. CrossRef - Comparative Study of Proximal Femoral Nail Antirotation and Zimmer Natural Nail for the Treatment of Stable Intertrochanteric Fractures
Jee-Hoon Kim, Oog-Jin Shon
Journal of the Korean Fracture Society.2013; 26(4): 305. CrossRef - Treatment of Intertrochanteric Fractures Using Targon Proximal Femoral Nails
Il Ho Park, Jong Kyoung Won, Kye Young Han
Hip & Pelvis.2012; 24(2): 117. CrossRef - Operative Treatment with Gamma 3 Nail in Femur Intertrochanteric Fracture
Ki-Do Hong, Jae-Chun Sim, Sung-Sik Ha, Tae-Ho Kim, Yoon-Ho Choi, Jong-Hyun Kim
Journal of the Korean Fracture Society.2011; 24(1): 7. CrossRef - The Comparison between ITST™ (Intertrochanteric/Subtrochanteric) & DHS (Dynamic Hip Screw) in Unstable Femur Intertrochanteric Fracture
Ho-Seung Jeon, Byung-Mun Park, Kyung-Sub Song, Hyung-Gyu Kim, Jong-Ju Yun
Journal of the Korean Fracture Society.2009; 22(3): 131. CrossRef - Complications of Femoral Pertrochanteric Fractures Treated with Proximal Femoral Nail (PFN)
Kee-Byoung Lee, Byung-Taek Lee
Journal of the Korean Fracture Society.2007; 20(1): 33. CrossRef
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