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Modified Ender Nailing For Intertrochanteric Fracture of the Femur
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Jin Wan Kim, Jeong Hoi Goo, Hyung Lae Cho, Young Chul Ko, Young Il Park, Seong Hwak Hong, Man Jun Park, Jang Seok Choi
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J Korean Fract Soc 2005;18(4):379-384. Published online October 31, 2005
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DOI: https://doi.org/10.12671/jkfs.2005.18.4.379
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 Abstract
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- PURPOSE
To evaluate the modified Ender nailing technique for the treatment of femoral intertrochanteric fractures in elderly patients.
MATERIALS AND METHODS
31 cases of femoral intertrochanteric fractures treated by modified Ender nailing from May 1997 to December 2004 were included in this study. We analyzed the method of the anesthesia, amount of intraoperative blood loss, operation time, number of used nail, postoperative ability of ambulation, postoperative complication, and the time for radiological union.
RESULTS
22 cases were operated under epidural anesthesia and 9 cases under general anesthesia. The average amount of intraoperative blood loss was 55 ml and average time for operation was 37 minutes. The average number of used nails were 3.1. The postoperative ambulatory ability was clinically recovered to the preoperative ambulatory ability in 23 cases, and decreased than before in 8 cases. Postoperative complications included knee joint pain or limitation of motion of the knee joint and distal migration of the nails. The average time for radiological bone union was 17.1 weeks postoperatively.
CONCLUSION
The modified Ender nailing technique is the one of the proper method in elderly femoral intertrochanteric fractures with associated medical problems. This method reduce the operation time and the amount of intraoperative blood loss.
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Clinical Results after Percutaneous Surgical Treatment of Intra-articular Fracture of the Distal Radius
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Jae Ryong Cha, Jung Hoei Ku, Hyung Lae Cho, Jin Wan Kim, Yoo Dae Kim, Young Il Park, Seong Hwak Hong
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J Korean Fract Soc 2005;18(3):304-310. Published online July 31, 2005
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DOI: https://doi.org/10.12671/jkfs.2005.18.3.304
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Abstract
PDF
- PURPOSE
To evaluate the clinical and radiologic results of percutaneous surgical treatment of the intra-articular fractures of the distal radius, we have compared the results of percutaneous pinning and the combination of percutaneous pinning with external fixation after closed reduction.
MATERIALS AND METHODS
We analysed the results of 52 patients with intra-articular fracture who received the operative treatment with closed reduction in the period of June, 1995 to June, 2001 and also were in regular follow-up at least one year. We used the subjective analysis by Cole & Obletz and the objective analysis by Scheck.
RESULTS
We have found the outcome that 83.3% of percutaneous pinning were graded above "Good" in type B and C1 and 82.2% of the combination treatment of percutaneous pinning with external fixation were graded above "Good" in type C2 and C3.
CONCLUSION
The percutaneous pinning and external fixator after closed reduction in intra-articular fractures of the distal radius are considered useful to restore the articular congruity and make good clinical results.
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