지원사업
학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
커뮤니티
연구자들이 자신의 연구와 전문성을 널리 알리고, 새로운 협력의 기회를 만들 수 있는 네트워킹 공간이에요.
초록· 키워드
오류제보하기
Purpose: The purpose of this study is to analyze the clinical results of fixation using SirusⓇ nail in patients with femoral subtrochanteric and shaft fracture and the difference in the frequency of complications according to the entry portal.Materials and Methods: From July 2006 to August 2013, at least 1-year clinical follow-up, we retrospectively analyzed 36 cases with femoral subtrochanteric (15 cases) and shaft fracture (21 cases) who underwent surgery using SirusⓇ nail. We reviewed the records of operation time, intra-operative amounts of bleeding and complications. At last follow-up, we re-viewed clinical results by Ray-Sanders criteria and analyzed the periods of bone union on the radiograph. We also measured changing of the femoral neck-shaft angle in the subtrochanteric fractures and angulation in the shaft fractures, respectively. Considering anatomical variation of the trochanter and fracture position of subtrochanteric and femoral shaft, entry points were divided into subgroups, and the clinical results were compared.Results: The mean Ray-Sanders score was 27.4, 27 cases (75.0%) were good or excellent. The mean periods of bone union was 21.1 weeks in 31 cases. The mean neck-shaft angles were 135.7o preoperatively, 130.2o postoperatively. The mean angulation of the femur was 24.4o preoperatively, 2.4o postoperatively in patients of femoral shaft fractures. Despite no statistical significance, greater trochanter tip entry point and lateral entry point had a higher rate of frequency than medial entry point, with respect to the occurrence of iatrogenic fracture and malalignment.Conclusion: Using SirusⓇ nail for femoral subtrochanteric and shaft fractures showed good clinical and radiographic results and a high rate of union. Medial entry point yielded slightly better results in the occurrence of iatrogenic fracture and malalignment, compared to greater trochanter tip entry point and lateral entry point.
목차
등록된 정보가 없습니다.
참고문헌 (14)
참고문헌 신청
Winquist RA / 1984 / Closed intramedullary nailing of femoral fractures. A report of five hundred and twenty cases / J Bone Joint Surg Am 66:529~539
Mileski RA / 1994 / Avascular necrosis of the femoral head in an adolescent following intramedullary nailing of the femur. A case report / J Bone Joint Surg Am 76:1706~1708
Khan FA / 1995 / Femoral neck fracture: a complication of femoral nailing / Injury 26:319~321
Dora C / 2001 / Entry point soft tissue damage in antegrade femoral nailing:a cadaver study / J Orthop Trauma 15:488~493
Ansari Moein CM / 2005 / Soft tissue injury related to choice of entry point in antegrade femoral nailing: piriform fossa or greater trochanter tip / Injury 36:1337~1342
Mileski RA / 1994 / Avascular necrosis of the femoral head in an adolescent following intramedullary nailing of the femur. A case report / J Bone Joint Surg Am 76:1706~1708
Khan FA / 1995 / Femoral neck fracture: a complication of femoral nailing / Injury 26:319~321
Dora C / 2001 / Entry point soft tissue damage in antegrade femoral nailing:a cadaver study / J Orthop Trauma 15:488~493
Ansari Moein CM / 2005 / Soft tissue injury related to choice of entry point in antegrade femoral nailing: piriform fossa or greater trochanter tip / Injury 36:1337~1342
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