Clinical Results of Complex Subtrochanteric Femoral Fractures with Long Cephalomedullary Hip Nail / 대한고관절학회지
Hip & Pelvis
; : 113-119, 2017.
Article
in English
| WPRIM (Western Pacific)
| ID: wpr-7219
Responsible library:
WPRO
ABSTRACT
PURPOSE:
Good results of the cephalomedullary nails have been reported in proximal femoral fractures recently. Based on length of nails and shape of screws fixed in a femoral head for proximal fragment fixation, the proper nail length was in dispute. The purpose of this study was to evaluate the clinical and radiological results of a long cephalomedullary hip nail for the treatment of comminuted subtrochanteric femoral fractures. MATERIALS ANDMETHODS:
Twenty-one consecutive patients with severe subtrochanteric femoral fractures who had undergone intramedullary fixation using long-PFNA II between March 2010 and March 2013 were followed-up for over 12 months. Their mean age was 64.8 years old (range, 43-85 years). Sixteen of 22 cases were high energy trauma. According to Seinsheimer's classification, 5 cases were type IV and 16 cases were type V. For radiological assessment, time to union, change of neck-shaft angle, sliding length, tip-apex distance (TAD) and leg length discrepancy (LLD) were measured. For clinical evaluation, a modified Koval index was investigated.RESULTS:
Mean operation time was 96 minutes. An average decrease of neck-shaft angle was 4.5°. The average sliding length of the helical blade was 4.2 mm. Average LLD was 3.0 mm, and TAD was 23.0 mm. Mean modified Koval index score at final follow-up was 4.6 points. All the 21 subtrochanteric fractures healed uneventfully on an average of 24.2 weeks (range, 18-30 weeks).CONCLUSION:
Long cephalomedullary hip nail provides excellent clinical and radiological outcomes in the comminuted subtrochanteric fracture.
Full text:
Available
Database:
WPRIM (Western Pacific)
Main subject:
Follow-Up Studies
/
Classification
/
Dissent and Disputes
/
Femoral Fractures
/
Femur
/
Head
/
Hip
/
Hip Fractures
/
Leg
Type of study:
Observational study
/
Prognostic study
Limits:
Humans
Language:
English
Journal:
Hip & Pelvis
Year:
2017
Document type:
Article