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1 "Provisional K-wire fixation"
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Original Article
Treatment of the Intertrochanteric Femoral Fracture with Proximal Femoral Nail: Nailing Using the Provisional K-wire Fixation
Gu Hee Jung
J Korean Fract Soc 2011;24(3):223-229.   Published online July 31, 2011
DOI: https://doi.org/10.12671/jkfs.2011.24.3.223
AbstractAbstract PDF
PURPOSE
To evaluate the efficiency of provisional K-wire fixation in intertrochanteric fractures treated with proximal femoral nail (PFN).
MATERIALS AND METHODS
Twenty seven patients (by AO/OTA classification, A1 8 cases, A2 19 cases) were treated with PFN with percutaneous reduction and provisional K-wire fixation, and followed a mean 24.5 months. The adequacy of fracture reduction was assessed by Fogagnolo's classification and reestablishment of bone-to-bone contact with the medial anatomy. Functional results were evaluated by postoperative complications, Jensen's method and Harris hip score (HHS).
RESULTS
In all cases, the bone-to-bone contact with the medial anatomy was reestablished by percutaneous reduction and examination of Fogagnolo's classification showed a good reduction. The technical complications and error of starting point were not occurred. The mean HHS was 76.5 and means Jensen's grade was 2.1 grades. Complications included excessive sliding in 1 case and early cutting-out of screw in 1 case.
CONCLUSION
The provisional K-wire fixation in trochanteric fracture treated with PFN had an advantage in preventing technical complications because it facilitates a nail insertion in ideal position.

Citations

Citations to this article as recorded by  
  • Analysis of Low-Energy Trochanter Fracture Using the Multiplanar Computed Tomography Image: Application for Intramedullary Nail Fixation
    Gu-Hee Jung, Sung-Keun Heo, Hyun-Je Seo
    Journal of the Korean Fracture Society.2015; 28(3): 155.     CrossRef
  • Morbidity and Mortality of the Elderly after Early Operation for Trochanteric Fractures
    Se-Ang Jang, Young-Ho Cho, Young-Soo Byun, Ki-Hong Park, Hyun-Seong Yoo, Chul Jung
    Journal of the Korean Fracture Society.2013; 26(3): 199.     CrossRef
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