Journal of Musculoskeletal Trauma

Original Articles

The Treatment of Subtrochanteric Fracture with Cephallomedually Nail: Minimal Incision and Lowman Clamp Assisted Reduction: Jang Seok Choi, Do Hyun Moon, Young Tae Noh; J Korean Fract Soc 2011;24(4):301-306. Published online October 31, 2011; DOI: https://doi.org/10.12671/jkfs.2011.24.4.301

PURPOSE
To evaluate the radiographic results of patients with subtrochanteric femoral fracture using minimal incision and cephalomedullary nail technique.
MATERIALS AND METHODS
This study was performed on 54 patients, 54 cases of hip, recruited among patients who underwent minimal incision and Cephalomedullary nail from September 2005 to August 2008 and were available for 1-year or longer follow up. The gender ratio was 37 males and 17 females, and the mean age at the time of surgery was 57.4 years (range; 16~81 years). According to injury mechanism, traffic accident was 29 cases, fall down form high height was 18 cases, slip down was 7 cases. In classification by Seinsheimer, type II was 23 cases (m/c), type III was 18 cases, type IV was 13 cases. Average follow up period was 14 months (12~18). Radiographic evaluation was performed for time taking union, mal-union and complication.
RESULTS
53 of the 54 cases united. 39 of 54 reductions were anatomic. 19 fractures had a monir varus deformity of proximal fragment (between 2degrees and 5degrees). There was no varus deformity of more than 5degrees. 1 case that had been treated with PFN had nail breakage without trauma. There were no other complications.
CONCLUSION
Surgical treatment of subtrochanteric fractures with minimal incision and Cephalomedullary nail technique can reslut in excellent reduction without complications including inflammation & malunion. Careful attention to detail for using Lowman clamp is demanding to decrease soft tissue injury.

Citations

Citations to this article as recorded by

The Treatment of Subtrochanteric Fractures with Proximal Femoral Nail Antirotation
Chi Hyoung Pak, Sang Hong Lee, Sang Ho Ha, Gwang Chul Lee, Kyoung Chul Song
Journal of the Korean Fracture Society.2013; 26(4): 284. CrossRef
Fixation of the Femoral Subtrochanteric Fracture with Minimally Invasive Reduction Techniques
Chul-Hyun Park, Chul-Wung Ha, Sang-Jin Park, Min-Su Ko, Oog-Jin Shon
Journal of the Korean Fracture Society.2013; 26(2): 112. CrossRef

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Pervention of the Cortical Breakage by Using the Lowman Clamp During the Flexible Intramedullary Nailing in the cases fo the Trochanteric Fractures: Moo Kyung Ko, Kyung Jo Woo, In jung Chare, Hong Kun Lee; J Korean Soc Fract 1989;2(2):263-268. Published online November 30, 1989; DOI: https://doi.org/10.12671/jksf.1989.2.2.263

Abstract PDF: Flexible intramedullary nailing has offered the many advantages in the treatment of the trochanteric fractures. But there has been many complications such as the knee joint pain, the deformity of external rotation of the femur, insufficient fixation of the fracture, peroneal nerve palsy, cortical breakage of insertion site of nailing and linear fracture of the femur. Of these complications, the cortical breakage and linear fractures of the femur was prevented by suing the Lownam clamp on the proximal site of insertion hole during the nailing. The authors have treated 31 cases of the trochanteric fractures with this method from March 1985 to December 1988 and the results are as follows: 1. There was neither cortical breakage nor linear fracture at the site of insertion hole in all cases of 31. 2. wide operation field was obtained with Lowman clamp by traction of muscles near by. 3. The handle of Lowman clamp can be used as indicator to determine the grade of anteversion. 4. It is confirmed that intramedullary nailing with Lowman clamp is simpler than conventional method and is highly recommended.

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