ABSTRACT
PURPOSE: To investigate the clinical and radiologic outcome after treatment of intertrochanteric fractures of femur using targon proximal femoral nails (PFN). MATERIALS AND METHODS: One hundred fifty-five cases of intertrochanteric fracture who were treated with targon PFN from August 2004 to June 2010 were included. There were 54 men and 101 women with a mean age of 74.1 years at the time of surgery. There were 97 cases of stable fracture and 58 cases of unstable fracture. Operation time, frequency of transfusion, weight-bearing time, ability of activity after operation, and complications were all clinically investigated. Also, the average sliding of a lag screw and average union period were radiologically investigated. RESULTS: The average operation time was 64 minutes and transfusion was required in 43 cases(27%). The average weight bearing time was 4.4 days. In 96 cases(62%), the pre-injury activity level was recovered. The average slide of the lag screw was 5.6 mm and the average union period was 10 weeks. There were 6 cases (3.8%) of complications including 3 cases antirotation pin cutout and 3 cases of periprosthetic fracture. CONCLUSION: The treatment of intertrochanteric fractures using targon PFNs showed a satisfactory clinical outcome and a lower radiological complication rate.
Subject(s)
Female , Humans , Male , Femur , Hip Fractures , Nails , Weight-BearingABSTRACT
In the extremity surgery, pneumatic tourniquet and povidone-iodine solution are commonly used to provide an aseptic, bloodless field, and their complication rate has remained low. However, chemical burn under tourniquet has been rarely reported. Patients sustained burn injuries over the dependent, weight-bearing regions such as posterior neck, back, buttocks and posterior thighs. This rare adverse complication occurred in a 22-year-old man who underwent modified Brostrom operation with arthroscopic os trigonum excision. 10% povidone-iodine was used as topical antiseptic, and full thickness burn occurred underneath the area of tourniquet application. Main causes of povidone-iodine related chemical burn are considered maceration, irritation of the skin, long term use of the tourniquet and pressure. To reduce the complications like chemical burn, awareness of the risk and the possible pathogenesis as well as the preventive measures is important in surgical practice.