Fixation Failure of Proximal Femoral Nail Anti-rotation in Femoral Intertrochanteric Fracture / 대한고관절학회지
Hip & Pelvis
;
: 302-308, 2012.
Artigo
em Coreano
| WPRIM
| ID: wpr-90535
ABSTRACT
PURPOSE:
The aim of this study was to identify the causes of fixation failure and evaluate prophylactic methods in femoral intertrochanteric fractures treated with proximal femoral nail anti-rotation. MATERIALS ANDMETHODS:
Between 2006 and 2010, this study evaluated 80 cases(20 men and 60 women) of femoral intertrochanteric fracture treated with proximal femoral nail anti-rotation after a minimum follow-up of 1 year. The mean age and follow-up period was 72.6 years and 2.1 years, respectively. The factors that could affect fixation failure, such as osteoporosis, fracture pattern, reduction status and position of helical blade on the femoral head, were analyzed retrospectively.RESULTS:
Six cases of fixation failure were encountered 4 cases of cut out of the helical blade, 1 case of excessive varus union and 1 case of hip joint pain due to the excessive sliding of helical blade. The reduction status and position of the helical blade on the femoral head showed a significant association with the fixation failure, and there were 2 cases of osteonecrosis of the femoral head at the latest follow-up.CONCLUSION:
Fixation failure was increased significantly in the case of non-anatomical reduction or superior position of helical blade in the femoral head. Therefore, the concerns related to the precise anatomical reduction and central location of the helical blade will need to be solved to reduce fixation failure.
Texto completo:
DisponíveL
Índice:
WPRIM (Pacífico Ocidental)
Assunto principal:
Osteonecrose
/
Osteoporose
/
Seguimentos
/
Fêmur
/
Cabeça
/
Fraturas do Quadril
/
Articulação do Quadril
/
Unhas
Tipo de estudo:
Estudo observacional
/
Estudo prognóstico
Limite:
Humanos
/
Masculino
Idioma:
Coreano
Revista:
Hip & Pelvis
Ano de publicação:
2012
Tipo de documento:
Artigo
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