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The Reliability of Proximal Femoral Shaft Fracture Classification
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Sang Wook Lee, Sang Bong Ko, Myung Rae Cho, Ho Hyoung Lee
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J Korean Fract Soc 2006;19(1):6-10. Published online January 31, 2006
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DOI: https://doi.org/10.12671/jkfs.2006.19.1.6
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 Abstract
- PURPOSE
The Garden classification by which femur neck fracture is classified and the Boyd-Griffin classification by which trochanteric fracture is classified are studied on the reproducibility, repeatability, interobserver's and intraobserver's reliability and then reliability.
MATERIALS AND METHODS
56 cases in femoral neck fracture and 60 cases in trochanteric fracture who were operated from May 1999 to December 2003 were classified by three observers who are hip surgeon, orthopaedic surgeon and senior residentship doctors three times. Femur neck fracture was classified by Garden's method which used commonly and trochanteric fracture was classified by Boyd-Griffin method which is classified by the pattern of fracture and degree of comminution. We got the interobserver's and intraobserver's Kappa score using the Stata 7.0 statistically. The statistical analysis was made by Stata 7.0.
RESULTS
Garden classification in femur neck fracture showed moderate agreement in intraobserver reliability and fair agreement in interobserver reliability. Boyd-Griffin classification in trochanteric fracture showed substantial agreement in intraobserver reliability and moderate agreement in interobserver reliability.
CONCLUSION
Boyd-Griffin classification showed over moderate agreement but Garden classification showed fair agreement, so using Garden classification in femur neck fracture has some problem in reliability and application.
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Avulsion Facture of Short External Rotators in the Proximal Femur: A Case Report
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Myung Rae Cho, Sang Bong Ko, Dae Ui Jeung
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J Korean Fract Soc 2005;18(3):345-348. Published online July 31, 2005
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DOI: https://doi.org/10.12671/jkfs.2005.18.3.345
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Abstract
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- Although avulsion fractures of greater and lesser trochanters rarely develop in hip fractures, avulsion fracture of short external rotators has not reported still online literature. Moreover, avulsion fracture of short external rotators can simulate the intertrochanteric fracture, and is difficult to differentiate from it on plain radiograph. This study is on the case 74-year old male patient who had avulsion fracture of short external rotators, and had the internal fixation with wire by open reduction under the diagnosis of the intertrochanteric fracture.
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Nailing in the Patients with Intertrochanteric Fractures of the Femur: Comparision Gamma Nail and Proximal Femoral Nail
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Sang Bong Ko, Myung Rae Cho, Tae Hoon Kim, Il Woong Chang
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J Korean Fract Soc 2004;17(4):295-300. Published online October 31, 2004
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DOI: https://doi.org/10.12671/jkfs.2004.17.4.295
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Abstract
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- PURPOSE
To evaluate the clinical and radiologic results of the fracture fixation using the Proximal Femoral Nail (PFN) or Gamma nail in patient with the intertrochanteric fractures.
MATERIALS AND METHODS
From January 1999 to February 2002, we reviewed 63 patients of intertrochanteric fractures including 31 patients managed with Gamma nail and 32 patients with PFN. In variate analysis of age, the pattern and stability of fracture, bone density (Singh index), preoperative patient activity, there was no difference between two groups. We evaluated the operation time, blood loss, stable reduction rate and varus reduction rate as operation-related factors, and radiologically investigated union time, the frequency of delayed union and nonunion, failure of fixation, status of the fracture line and complications. Functional results were evaluated by the possibility of early ambulation, ambulation ability at last follow up, and the pre and postoperative difference of ambulatory ability.
RESULTS
Mean operation time was 103+/-40 minutes in Gamma nail group and 101+/-28 minutes in PFN group. It was not statistically significant (p=0.801). Even though intraoperative blood loss was less in PFN group, it was not significant (p=0.601). Postoperative stable reduction rate was 31% in Gamma nail group and 30% in PFN group (p=0.934), suggesting not significant. Postoperative varus reduction and impacted amount of the fracture line was not significant. Delayed union developed in one case of Gamma nail group and 2 cases of PFN group. Mean loss of ambulation ability was 1.28 grade in Gamma nail group and 0.86 grade in PFN group (p=0.383). Statistical analysis was performed with the use of Student T test and Chi-square test. Analyses resulting in a p value of <0.05 were considered to show significance.
CONCLUSION
Generally, the radiologic and clinical results of intertrochanteric fractures were comparable for the PFN group and Gamma nail group. Even though it was not statistically significant, PFN group had superior results in operation time and blood loss than Gamma nail group for the fixation of the patients with intertrochanteric fracture.
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Citations
Citations to this article as recorded by  - 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 - Hemiarthroplasty for Hip Fractures in Elderly Patients over 80 Years Old - Comparative Analysis between Femoral Neck Fracture and Intertrochanteric Fracture -
Chae-Hyun Lim, Young-Yool Chung, Jeong-Seok Kim, Chung-Young Kim
Hip & Pelvis.2013; 25(1): 44. CrossRef - Cementless Bipolar Hemiarthroplasty for Unstable Intertrochanteic Fractures in the Elderly
Byung-Hak Kim, Young-Yool Chung, Sung-Chang Ki, Dae-Hyun Yoon, Ji-Hoon Ryu
Journal of the Korean Orthopaedic Association.2011; 46(5): 399. CrossRef - Treatment of Intertrochanteric Fracture with Proximal Femoral Nail
Dae Joong Kim, Sung Chan Ki, Young Yool Chung
Journal of the Korean Fracture Society.2007; 20(1): 40. CrossRef
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The Complications during Treatment of Femoral Neck Fracture in Children - Coxa Vara, SCFE and Avascular Necrosis
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Myung Rae Cho, Won Jae Song, Jeong Hwan Son, Jeong Ho Park
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J Korean Soc Fract 2002;15(1):1-6. Published online January 31, 2002
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DOI: https://doi.org/10.12671/jksf.2002.15.1.1
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Abstract
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- Femur neck fractures in children are relatively rare by comparison with the incidence in adults and can occur by high-energy trauma. The common complications of femoral neck fracture are avascuar necrosis, coxa vara, premature physeal closure and nonunion. The femoral neck fracture by traffic accident in 7-years-old girl was reduced closely and fixed internally. After 1 year later, varus deformity, slipped capital femoral epiphysis and avascular necrosis occurred. Valgus osteotomy and epiphysiodesis were done. There are many series of complications after femoral neck fractures in children, but the case followed by varus deformity, slipped capital femoral epiphysis and avascular necrosis as complications is rare. We report the clinical and radiologic finding of this case with pertinent literature.
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