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.
논문 기본 정보
- 자료유형
- 학술저널
- 저자정보
- 발행연도
- 2017.6
- 수록면
- 113 - 119 (7page)
- DOI
- 10.5371/hp.2017.29.2.113
이용수
초록· 키워드
오류제보하기
Purpose: Good results of the cephalomedullary nails have been reported in proximal femoral fractures recently. Based on length of nails and shape of screws fixed in a femoral head for proximal fragment fixation, the proper nail length was in dispute. The purpose of this study was to evaluate the clinical and radiological results of a long cephalomedullary hip nail for the treatment of comminuted subtrochanteric femoral fractures.
Materials and Methods: Twenty-one consecutive patients with severe subtrochanteric femoral fractures who had undergone intramedullary fixation using long-PFNA II between March 2010 and March 2013 were followed-up for over 12 months. Their mean age was 64.8 years old (range, 43-85 years). Sixteen of 22 cases were high energy trauma. According to Seinsheimer’s classification, 5 cases were type IV and 16 cases were type V. For radiological assessment, time to union, change of neck-shaft angle, sliding length, tip-apex distance (TAD) and leg length discrepancy (LLD) were measured. For clinical evaluation, a modified Koval index was investigated.
Results: Mean operation time was 96 minutes. An average decrease of neck-shaft angle was 4.5。. The average sliding length of the helical blade was 4.2 mm. Average LLD was 3.0 mm, and TAD was 23.0 mm. Mean modified Koval index score at final follow-up was 4.6 points. All the 21 subtrochanteric fractures healed uneventfully on an average of 24.2 weeks (range, 18-30 weeks).
Conclusion: Long cephalomedullary hip nail provides excellent clinical and radiological outcomes in the comminuted subtrochanteric fracture.
목차
등록된 정보가 없습니다.
참고문헌 (32)
참고문헌 신청
민병우 / 2015 / Nonsurgical Treatment Strategies after Osteoporotic Hip Fractures / Hip and Pelvis 27(1):9~16
Bedi A / 2004 / Subtrochanteric femur fractures / Orthop Clin North Am 35:473~483
Fielding JW / 1974 / Biomechanical characteristics and surgical management of subtrochanteric fractures / Orthop Clin North Am 5:629~650
Froimson AI / 1970 / Treatment of comminuted subtrochanteric fractures of the femur / Surg Gynecol Obstet 131:465~472
Saini P / 2013 / Biological fixation of comminuted subtrochanteric fractures with proximal femur locking compression plate / Injury 44:226~231
Bedi A / 2004 / Subtrochanteric femur fractures / Orthop Clin North Am 35:473~483
Fielding JW / 1974 / Biomechanical characteristics and surgical management of subtrochanteric fractures / Orthop Clin North Am 5:629~650
Froimson AI / 1970 / Treatment of comminuted subtrochanteric fractures of the femur / Surg Gynecol Obstet 131:465~472
Saini P / 2013 / Biological fixation of comminuted subtrochanteric fractures with proximal femur locking compression plate / Injury 44:226~231
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