-
Intertrochanteric Fractures of the Femur Treated with 95degree Angled Blade Plate in over 60 years Old patients
-
Chong Kwan Kim, Dae Young Kim
-
J Korean Soc Fract 1998;11(4):1001-1010. Published online October 31, 1998
-
DOI: https://doi.org/10.12671/jksf.1998.11.4.1001
-
-
 Abstract
 PDF
- Surgical stabilization is the treatment of choice for both stable and unstable intertrochanteric fractures. Unfortunately, the elderly patient has poor quality of bone. Because of osteoporotic bone, management of unstable comminuted fracture is very difficult in reduction and fixation of fracture. Now the sliding compression hip screw is the device used for hip screws have been used widely. these device have most commonly, and also intramedullary hip screws have been used widely. These device have many advantages in the treatment of interrochanteric fracture. But fixation failure occur not uncommonly in osteoporotic comminuted unstable fracture. For the pupose of stable fixation in osteoporotic femur neck and head, we used the 95degree angled blade plate(=condylar plate). We experienced that the blade portion of condylar plate offer a good fixation stability. clinical results were good in 31 cases of intertrochanteric fracture treated with condylar plate. There was no cutting out of head, excessive shortening and excessive varus deformity. Most of all cases, except one, were united within average 4months. We consider that using the condylar plate for osteoporotic unstable intertrochanteric fracture would be another good modality if surgeons have a surgical skill.
-
Ipsilateral Fracture of the Femoral Neck and Shaft
-
Chong Kwan Kim, Jeong Hwan Kim, Dae Young Kim
-
J Korean Soc Fract 1998;11(4):738-744. Published online October 31, 1998
-
DOI: https://doi.org/10.12671/jksf.1998.11.4.738
-
-
Abstract
PDF
- Ipsilateral femoral neck and shaft fractures are uncommon and have difficulty in diagnosis. The injury results from high energy trauma. From January, 1990 to March, 1995, 10 cases of ipsilateral femur neck and shaft fractures had been treated. Follow up period varied from 10 months to 3 years (average 1 year 10 month). The purpose of this study is to evaluate the fracture pattern of neck, complications due to delayed operation, and efficient methods of fixation. The neck fractures were minimally displaced or not displaced in 8 cases. The femur shaft fractures were usually comminuted and located at midshaft. The timing of operation was often determined by the patient's status as a multiple trauma victim, but a delay of days to cases, diagnosis was delayed, but there was no complication, like as avascular necrosis and nonunion. There was one case of nonunion of femur shaft, and which was treated with bone graft. We could not find the difference in complication rate among the fixation methods. Anatomic reduction and stable fixation seem to be more important than the method of fixation and timing of operation.
|
E-submission
KFS
