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Comparison of the Radiologic Outcomes following the Kinds of Implants in Treating Unstable Osteoporotic Intertrochanteric Fracture / 대한골다공증학회지
Journal of Korean Society of Osteoporosis ; : 19-25, 2013.
Artigo em Coreano | WPRIM | ID: wpr-760803
ABSTRACT

OBJECTIVES:

To determine whether kinds of implants would influence on the radiologic outcomes in the treatment of unstable osteoporotic intertrochanteric fractures. MATERIALS AND

METHODS:

In this retrospective study, radiologic outcomes of 151 patients with unstable osteoporotic intertrochanteric fractures undergoing surgical treatments were compared based on the types of fixation implants as follows PFNA (53 cases, group I), gamma nail 3(31 cases, group II), CHS with TSP (43 cases, group III), and helical blade type LCP-DHS with TSP (24 cases, group IV). On the follow-up radiographs after operations, we assessed differences of bone union durations, neck-shaft ankle changes, lag screw or helical blade slippages, and varus alpha angle changes among the study groups.

RESULTS:

All the radiologic outcomes evaluated in this study were not significantly different among the study groups. The average bone union durations of the group I, II, III and IV were 17.7, 18.0, 18.2, and 17.8 weeks, respectively (P=0.429). The average variation of neck-shaft angle of the group I, II, III and IV were 3.6degrees, 3.1degrees, 3.7degrees and 2.9degrees, respectively (P=0.273). The average lag screw or blade slippage of the group I, II, III and IV were 5.1 mm, 3.3 mm, 3.6 mm and 2.7 mm, respectively (P=0.154). The average variation of varus alpha of the group I, II, III and IV were 5.3degrees, 4.7degrees, 4.1degrees and 4.6masculine, respectively (P=0.894).

CONCLUSIONS:

This study indicates that four typical types of fixation implants for treating unstable osteoporotic intertrochanteric fractures would not lead to differences in postoperative radiological outcomes.
Assuntos

Texto completo: DisponíveL Índice: WPRIM (Pacífico Ocidental) Assunto principal: Estudos Retrospectivos / Seguimentos / Fraturas do Quadril / Tornozelo / Unhas Tipo de estudo: Estudo observacional / Estudo prognóstico Limite: Animais / Humanos Idioma: Coreano Revista: Journal of Korean Society of Osteoporosis Ano de publicação: 2013 Tipo de documento: Artigo

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Texto completo: DisponíveL Índice: WPRIM (Pacífico Ocidental) Assunto principal: Estudos Retrospectivos / Seguimentos / Fraturas do Quadril / Tornozelo / Unhas Tipo de estudo: Estudo observacional / Estudo prognóstico Limite: Animais / Humanos Idioma: Coreano Revista: Journal of Korean Society of Osteoporosis Ano de publicação: 2013 Tipo de documento: Artigo