ABSTRACT
PURPOSE: This study was performed to review the results of PFNA (Proximal Femoral Nail Antirotation) for treating unstable femoral intertrochanteric fractures. MATERIALS AND METHODS: Forty-seven out of 187 hips treated from September 2006 to March 2010 with PFNA for unstable femoral pertrochanteric fractures were enrolled in this study. The mean duration to radiologic bone union, the functional status and the complications were assessed. The Cleveland index, the tip apex distance, the sliding distance of the blade and the change in the neck-shaft angle were also measured. RESULTS: The mean duration to radiologic bone union was 15.8 weeks and 66% of the patients recovered to a premorbid functional status. The average amount of blade sliding was 5.5 mm and the mean change of the neck-shaft angle was varus 4.4degrees. There were 2 cases of penetration of the blade tip, 2 cases of impending penetration, one case of posttraumatic osteonecrosis of the femoral head and 2 cases of lateral wall fractures. CONCLUSION: PFNA would be preferable for unstable femoral intertrochanteric fractures in terms of the short operation time, the rapid ambulatory recovery and the reduced complications. Yet careful handling is required to avoid a grave complication such as head penetration.
Subject(s)
Humans , Femur , Handling, Psychological , Head , Hip , Hip Fractures , Nails , OsteonecrosisABSTRACT
PURPOSE: To evaluate the changes of electroretinographic responses according to the lens opacity type and severity in cataract patients with normal retina. METHODS: Retrospective study was performed on 79 eyes of 79 patients who had undergone electroretinograms (ERG) before cataract surgery. The patients with high myopia, diabetes mellitus, hypertension or glaucoma were excluded. Cataracts were classified using Lens Opacities Classification System III (LOCS III). Whether the ERG results are different according to the location and severity of lens opacity was analyzed. RESULTS: Marked reduction in amplitude and delay in implicit time were observed in mature cataracts. Amplitudes of a- and b-wave were reduced significantly, especially a-wave in maximal combined response and b-wave in rod response (P<0.01). Among the 4 groups, excluding the mature opacity, amplitude was reduced in posterior subcapsular opacity. Implicit times were also delayed, but not significant. CONCLUSIONS: Lens opacity, especially posterior subcapsular opacity affects the ERG results significantly. These findings should be considered in evaluating the retinal abnormalities in patients with cataract.