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
- 2021.9
- 수록면
- 154 - 161 (8page)
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초록· 키워드
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Purpose: Although proximal femoral nail antirotation (PFNA; Synthes, Switzerland) has demonstrated satisfactory results when used for the treatment of intertrochanteric fractures, mechanical complications may occur. To better quantify the risk of mechanical complications when proximal femoral nail antirotation is used to treat intertrochanteric fractures, this study aimed to: (1) characterize the frequency of mechanical complications and extent of blade sliding and their correlation with reduction quality and (2) identify factors associated with mechanical complications.
Materials and Methods: A review of medical records from 93 patients treated for intertrochanteric fractures with a minimum of 6-months of follow-up between February 2014 and February 2019 was conducted. Blade position was evaluated using Tip-apex distance (TAD) and Cleveland index. The extent of blade sliding was evaluated using the adjusted Doppelt’s method for intramedullary nailing. Individuals were classified as having or not having mechanical complications, and reduction quality and radiologic outcomes were compared between the two groups.
Results: Mechanical complications occurred in 12 of 94 hips (12.8%), with 11 out of 12 being from the intramedullary reduction group. There was no significant difference in TAD between groups; however, there were significant differences were noted in Cleveland index, AO/OTA classification, reduction quality and extent of blade sliding. The mean blade sliding distance was 1.17 mm (anatomical group), 3.28 mm (extramedullary group), and 6.11 mm (intramedullary group), respectively (P<0.001). Data revealed that blade sliding was an associated factor for mechanical complications (odds ratio 1.25, 95% confidence interval 1.03-1.51).
Conclusion: The extent of blade sliding determined using the adjusted Doppelt’s method was significantly associated with mechanical complications suggesting that prevention of excessive sliding through proper intraoperative reduction is important to help achieve satisfactory treatment outcomes.
목차
등록된 정보가 없습니다.
참고문헌 (6)
참고문헌 신청
유준일 / 2017 / Early Rehabilitation in Elderly after Arthroplasty versus Internal Fixation for Unstable Intertrochanteric Fractures of Femur: Systematic Review and Meta-Analysis / Journal of Korean Medical Science 32(5):858~867
Boo-Seop Kim / 2020 / Recent Epidemiology of Hip Fractures in South Korea / Hip and Pelvis 32(3):119~124
Young Chang Park / 2018 / The Effects of Extramedullary Reduction in Unstable Intertrochanteric Fracture: A Biomechanical Study Using Cadaver Bone / 대한골절학회지 31(3):79~86
유제현 / 2015 / Osteoporotic Fracture: 2015 Position Statement of the Korean Society for Bone and Mineral Research / 대한골대사학회지 22(4):175~181
유준일 / 2018 / Comparison between Cementless and Cemented Bipolar Hemiarthroplasty for Treatment of Unstable Intertrochanteric Fractures: Systematic Review and Meta-analysis / Hip and Pelvis 30(4):241~253
Boo-Seop Kim / 2020 / Recent Epidemiology of Hip Fractures in South Korea / Hip and Pelvis 32(3):119~124
Young Chang Park / 2018 / The Effects of Extramedullary Reduction in Unstable Intertrochanteric Fracture: A Biomechanical Study Using Cadaver Bone / 대한골절학회지 31(3):79~86
유제현 / 2015 / Osteoporotic Fracture: 2015 Position Statement of the Korean Society for Bone and Mineral Research / 대한골대사학회지 22(4):175~181
유준일 / 2018 / Comparison between Cementless and Cemented Bipolar Hemiarthroplasty for Treatment of Unstable Intertrochanteric Fractures: Systematic Review and Meta-analysis / Hip and Pelvis 30(4):241~253
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