Proximal Femoral Nail Antirotation versus Compression Hip Screw with Trochanter Stabilizing Plate for Unstable Intertrochanteric Hip Fractures
Journal of the Korean Fracture Society
;
: 161-166, 2010.
Article
in Korean
| WPRIM
| ID: wpr-39874
ABSTRACT
PURPOSE:
To analyze and compare the clinical and radiologic results of treatments in unstable intertrochanteric fractures of the femur with proximal femoral nail antirotation (PFNA) and compression hip screw with trochanter stabilizing plate (CHS with TSP). MATERIALS ANDMETHODS:
We retrospectively reviewed the results of 66 cases of unstable intertrochanteric fractures of the femur treated with PFNA (Group I) and CHS with TSP (Group II) which could be followed up for minimum a year. We evaluated several comparative factors such as operation time, blood loss, time to bone union, changes in neck-shaft angle, sliding of screw (or blade), complications, postoperative pain, social-function score of Jensen, and mobility score of Parker and Palmer.RESULTS:
Group I showed shorter operation time and less blood loss with significance than group II (p0.05). Two cases of cutting out of the blade through the femoral head were found in group I. One case of cutting out of the screw, one case of the breakage of the plate, and loosening of the plate were found in group II as complications.CONCLUSION:
We think that there were no significant differences between PFNA and CHS with TSP in view point of radiologic and clinical outcomes in unstable intertrochanteric fractures of the femur, but PFNA is less invasive device than CHS with TSP, therefore it may be useful device in elderly patients.
Full text:
Available
Index:
WPRIM (Western Pacific)
Main subject:
Postoperative Complications
/
Retrospective Studies
/
Femur
/
Head
/
Hip
/
Hip Fractures
/
Nails
Type of study:
Observational study
Limits:
Aged
/
Humans
Language:
Korean
Journal:
Journal of the Korean Fracture Society
Year:
2010
Type:
Article
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