-
The proximal femoral nail for intertrochanteric fracture of the femur
-
Young Wan Moon, Dong Hyun Suh, Shin Taeg Kang, Duck Joo Kwon, Yong Nam Ji, Kee Byoung Lee
-
J Korean Soc Fract 2003;16(1):29-36. Published online January 31, 2003
-
DOI: https://doi.org/10.12671/jksf.2003.16.1.29
-
-
 Abstract
 PDF
- PURPOSE
To evaluate the treatment results of geriatric intertrochanteric fractures using a proximal femoral nail.
MATERIALS AND METHODS
From April 2001 to Feburary 2002, 71 cases of the intertrochanteric fractures were treated with proximal femoral nail(PFN), more often in communited fractures involving lesser trochanter, transverse or reverse oblique intertrochanteric fracture. We evaluated the bone union time, neck-shaft angle, lag screw sliding by follow up radiographs, operation time, blood loss and complications.
RESULTS
The average age was 77.5 years old, the mean duration of follow-up was 9 months and the mean duration of bone union was 13.8 weeks. The average neck-shaft angle on immediate postop. x-ray was 131.9 +/-5.21 degrees and 129.9 +/-6.04 degrees at last follow up and the average lag screw sliding was 4.21 +/-4.13 mm. The average operation time was 61 minute and blood loss was 0.67 pints(134cc). Intraoperative complications were inadequate reduction in one case, difficulty in distal transfixing in one case and drill bit failure in one case and postoperative complications were loss of neck-shaft angle (more than 5 degree) in 12 cases, femur neck fracture in 2 cases and intraarticular cutting out of femur neck screw in one case.
CONCLUSIONS
The use of the proximal femoral nail could be appropriate for the fixation of communited or reverse oblique intertrochanteric fracture in elderly, osteoporotic patients for early ambulation, preventing shortening and rotation deformity, and reducing operation time and blood loss.
-
Citations
Citations to this article as recorded by  - 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 - 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 - Proximal Femoral Nail Antirotation and Proximal Femoral Nail in Intertrochanteric Fractures
Sung Soo Kim, Chul Hong Kim, Jin Hun Kang, Dong Hoon Han, Yong Seung O
Journal of the Korean Orthopaedic Association.2011; 46(5): 392. CrossRef - Results of the Proximal Femoral Nail-Antirotation (PFNA) in Patients with an Unstable Pertrochanteric Fracture
Yerl-Bo Sung, Sung-Il Jo
The Journal of the Korean Hip Society.2011; 23(1): 39. CrossRef - Comparison of the Compression Hip Screw (CHS) and the Proximal Femoral Nail Antirotation (PFNA) for Intertrochanteric Femoral Fracture
Jong Min Lim, Jeung Il Kim, Jong Seok Oh, Kuen Tak Suh, Jae Min Ahn, Dong Joon Kang
Journal of the Korean Fracture Society.2010; 23(4): 360. CrossRef - Treatment of the Proximal Femoral Fractures with Proximal Femoral Nail Antirotation (PFNA)
Myung-Sik Park, Young-Jin Lim, Young-Sin Kim, Kyu-Hyung Kim, Hong-Man Cho
Journal of the Korean Fracture Society.2009; 22(2): 91. CrossRef - Treatment of Intertrochanteric Fracture: Comparison of Proximal Femoral Nail and Proximal Femoral Nail A
Jung Ho Park, Jong Woong Park, Joon Ho Wang, Jae Wook Lee, Jung Il Lee, Jae Gyoon Kim
Journal of the Korean Fracture Society.2008; 21(2): 103. 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 - 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
-
125
View
-
0
Download
-
9
Crossref
|
E-submission
KFS
