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Comparative Study of Intertrochanteric Fracture Treated with the Proximal Femoral Nail Anti-Rotation and the Third Generation of Gamma Nail
Journal of the Korean Fracture Society ; : 37-43, 2013.
Article in Korean | WPRIM | ID: wpr-175229
ABSTRACT

PURPOSE:

To compare the result between the third generation gamma nail (gamma 3 nail) and proximal femoral nail anti-rotation (PFNA) in the treatment of unstable intertrochanteric fractures. MATERIALS AND

METHODS:

Between March 2009 and June 2011, 47 consecutive patients with unstable intertrochanteric femoral fractures were treated with gamma 3 nail or PFNA. We reviewed 24 cases of gamma 3 nail and 23 cases of PFNA. Retrospectively, we evaluated the mean operation time, amount of bleeding, average union period, reduction status, change of neck shaft angle, Tip-apex distance, Cleveland index, sliding of lag screw and complication on set of telephone interview and outpatient. We also evaluated the postoperative capability of function and mobility, using 'Modified Koval index'.

RESULTS:

There were no significant differences between the groups, which were treated with gamma 3 nail and PFNA. In addition, they did not show statistical difference. We experienced 2 cases of complication (gamma 3 nail 1 case, PFNA 1 case), which were cut-out of the femoral head.

CONCLUSION:

The gamma 3 nail and PFNA were seen with good results in the treatment of unstable intertrochanteric fracture.
Subject(s)

Full text: Available Index: WPRIM (Western Pacific) Main subject: Outpatients / Interviews as Topic / Retrospective Studies / Femoral Fractures / Hemorrhage / Nails / Neck Type of study: Observational study / Qualitative research Limits: Humans Language: Korean Journal: Journal of the Korean Fracture Society Year: 2013 Type: Article

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Full text: Available Index: WPRIM (Western Pacific) Main subject: Outpatients / Interviews as Topic / Retrospective Studies / Femoral Fractures / Hemorrhage / Nails / Neck Type of study: Observational study / Qualitative research Limits: Humans Language: Korean Journal: Journal of the Korean Fracture Society Year: 2013 Type: Article