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Volume 23(4); October 2010
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Original Articles
Treatment of the Unstable Intertrochanteric Fracture with Proximal Femoral Nail Antirotation: Comparison with Compression Hip Screw with Trochanteric Stabilizing Plate
Tae Ho Kim, Jong Oh Kim, Seung Yup Lee, Geon Ung Yun
J Korean Fract Soc 2010;23(4):353-359.   Published online October 31, 2010
DOI: https://doi.org/10.12671/jkfs.2010.23.4.353
AbstractAbstract PDF
PURPOSE
To evaluate the effectiveness of Proximal Femoral Nail Anti-rotation (PFNA) for the treatment of unstable intertrochanteric fracture comparing with Compression Hip Screw (CHS) with Trochanteric Stabilizing Plate (TSP).
MATERIALS AND METHODS
With clinical study, 43 patients who were treated surgically for unstable intertrochanteric fractures were retrospectively evaluated. One group was treated with CHS and TSP (Group 1, 22 cases) and the other was treated with PFNA (Group 2, 21 cases). By postoperative radiograph and last follow up radiograph we measured Tip-apex distance, Cleveland index, Lag screw slippage, Neck-shaft angle change and Union time. And By retrospective medical record review, the clinical results were evaluated with the operation time, intraoperative estimated blood loss, amount of drainage, amount of transfusion, walking ability change and complication.
RESULTS
There was a lower operation time, intraoperative estimated blood loss, amount of drainage, amount of transfusion, lag screw slippage and neck shaft angle change in the Group 2 than in the Group 1 (p<0.05).
CONCLUSION
PFNA showed better results than CHS with TSP in operation time, estimated blood loss, amount of drainage and transfusion, lag screw slippage and neck-shaft angle change.

Citations

Citations to this article as recorded by  
  • Results of Asian Type Gamma 3 Nail in Treatment of Trochanteric Fractures
    Bing Zhe Huang, Yong Wook Park, Jin Su Park, Kyu Cheol Noh, Soung Yon Kim, Kook Jin Chung, Hong Kyun Kim, Hyong Nyun Kim, Yong Hyun Yoon, Ji Hyo Hwang
    Journal of the Korean Fracture Society.2014; 27(3): 213.     CrossRef
  • Comparative Study of Intertrochanteric Fracture Treated with the Proximal Femoral Nail Anti-Rotation and the Third Generation of Gamma Nail
    Jae-Cheon Sim, Tae-Ho Kim, Ki-Do Hong, Sung-Sik Ha, Jong-Seong Lee
    Journal of the Korean Fracture Society.2013; 26(1): 37.     CrossRef
  • Comparative Study of Proximal Femoral Nail Antirotation and Zimmer Natural Nail for the Treatment of Stable Intertrochanteric Fractures
    Jee-Hoon Kim, Oog-Jin Shon
    Journal of the Korean Fracture Society.2013; 26(4): 305.     CrossRef
  • A Comparison between Compression Hip Screw and Intramedullary Nail for the Treatment of AO/OTA A2.2 Intertrochanteric Femoral Fracture
    Phil Hyun Chung, Suk Kang, Jong Pil Kim, Young Sung Kim, Ho Min Lee, Jong Hyun Kim
    Journal of the Korean Fracture Society.2013; 26(1): 44.     CrossRef
  • The Treatment of Intertrochanteric Femoral Fracture with Proximal Femoral Nail Antirotation
    Jong Won Kim, Hyun Soo Park, Young Soo Jang, Jae Hyuk Choi, Sung Ju Bae, Chan Il Bae
    Journal of the Korean Fracture Society.2012; 25(4): 257.     CrossRef
  • Operative Treatment with Gamma 3 Nail in Femur Intertrochanteric Fracture
    Ki-Do Hong, Jae-Chun Sim, Sung-Sik Ha, Tae-Ho Kim, Yoon-Ho Choi, Jong-Hyun Kim
    Journal of the Korean Fracture Society.2011; 24(1): 7.     CrossRef
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Comparison of the Compression Hip Screw (CHS) and the Proximal Femoral Nail Antirotation (PFNA) for Intertrochanteric Femoral Fracture
Jong Min Lim, Jeung Il Kim, Jong Seok Oh, Kuen Tak Suh, Jae Min Ahn, Dong Joon Kang
J Korean Fract Soc 2010;23(4):360-366.   Published online October 31, 2010
DOI: https://doi.org/10.12671/jkfs.2010.23.4.360
AbstractAbstract PDF
PURPOSE
To evaluate the radiologic, clinical results between who had intertrochanteric fracture, treated with Compression Hip Screw (CHS) and Proximal Femoral Nail Antirotation (PFNA).
MATERIALS AND METHODS
We retrospectively reviewed each 36 and 48 patients of intertrochanteric fracture which were treated with CHS or PFNA by one surgeon from January 2005 to June 2009. We evaluated mean operation time, amount of bleeding, radiologic results, and the clinical outcomes with the mobility score of Parker and Palmer, social function scoring system.
RESULTS
The mean operation time, amount of bleeding were less in the PFNA group, there were 116.7 min, 486.1 ml for the CHS group versus 87.7 min, 289.6 ml for the PFNA group. The radiologic results were not significantly different. Decrease of mobility score of Parker and Palmer, social function score were similar. Proximal migration of leg screw and perforation of femoral head was 2 case and deep infection was 1 cases in CHS group.
CONCLUSION
There were no significant differences that are clinical and radiological results in treatment of intertrochanteric fracture using the CHS and PFNA. But PFNA is less invasive device than CHS, therefore it may be useful device in elderly patients.

Citations

Citations to this article as recorded by  
  • Chronic kidney disease patients with intertrochanteric fracture have a high mortality rate
    Tae Woo Kim, Sang-Min Lee, Nam Hoon Moon, Won Chul Shin
    Injury.2021; 52(8): 2350.     CrossRef
  • Comparison between the Results of Internal Fixation Using Proximal Femur Nail Anti-rotation and Bipolar Hemiarthroplasty in Treatment of Unstable Intertrochanteric Fractures of Elderly Patients
    Sung-Hwan Kim, Soo-Won Lee, Gyu-Min Kong, Mid-Um JeaGal
    Hip & Pelvis.2012; 24(1): 45.     CrossRef
  • Treatment of Intertrochanteric Fractures Using Targon Proximal Femoral Nails
    Il Ho Park, Jong Kyoung Won, Kye Young Han
    Hip & Pelvis.2012; 24(2): 117.     CrossRef
  • A Comparison of Intramedullary and Extramedullary Fixations for the Treatment of Reverse Oblique or Transverse Intertrochanteric Femoral Fractures
    Yerl-Bo Sung, Jung-Yun Choi, Eui-Yub Jung
    Hip & Pelvis.2012; 24(2): 109.     CrossRef
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Percutaneous Retrograde Intramedullary Pin Fixation for Isolated Metacarpal Shaft Fracture of the Little Finger
Soo Hong Han, Hyung Ku Yoon, Dong Eun Shin, Seung Chul Han, Young Woong Kim
J Korean Fract Soc 2010;23(4):367-372.   Published online October 31, 2010
DOI: https://doi.org/10.12671/jkfs.2010.23.4.367
AbstractAbstract PDF
PURPOSE
To evaluate the anatomic and functional outcome of retrograde intramedullary single wire fixation for metacarpal shaft fractures of the little finger.
MATERIALS AND METHODS
hirty one consecutive patients with closed metacarpal shaft fractures of the little finger who have been treated with retrograde intramedullary single wire fixation were evaluated. Fracture union and angulation were analyzed radiologically, and clinical evaluations were performed including range of motion, DASH score and complications.
RESULTS
Fracture union was achieved in all cases and callus formation was obvious at postoperative 41 days. Average angulation of fracture site was 3degrees in the coronal plane and 1.2degrees in the sagittal plane at the last follow up and no measurable metacarpal shortening was observed. Mean TAM was 253degrees and DASH score was 2.6. There were two cases of pin migration as intermediate complications.
CONCLUSION
Closed reduction with subsequent percutaneous retrograde K-wire fixation produced good radiological and functional results. We recommend this minimally invasive technique which provides adequate fixation of displaced little finger metacarpal shaft fractures with good functional results and low morbidity.

Citations

Citations to this article as recorded by  
  • The Treatment Outcomes of the Metacarpal Shaft and Neck Comminuted Fractures Using Modified Percutaneous Retrograde Intramedullary Kirschner Wire Fixation
    Seok Woo Hong, Young Ho Lee, Min Bom Kim, Goo Hyun Baek
    Archives of Hand and Microsurgery.2018; 23(3): 175.     CrossRef
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Case Reports
Bowel Entrapment by Fragments of Acetabular Fracture: A Case Report
Ji Wan Kim, Jung Jae Kim, Suk Kyung Hong, Kyu Hyuk Kyung, Jin Hee Kim
J Korean Fract Soc 2010;23(4):373-376.   Published online October 31, 2010
DOI: https://doi.org/10.12671/jkfs.2010.23.4.373
AbstractAbstract PDF
Abdominal injuries are common in patients with pelvic or acetabular fracture. However intestinal entrapment or perforation caused by fragments of a pelvic or acetabular fracture is rare and to date there has been no report of this occurring in Korea so far. As it is difficult to diagnose intestinal entrapment caused by fragments of pelvic or acetabular fracture, the entrapment therefore results in intestinal perforation, sepsis, and a high mortality rate in the absence of early detection. We present a case of intestinal entrapment and perforation caused by fragments of acetabular fracture as well as a literature review.
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Removal of a Broken Intramedullary Nail with a Narrow Hollow Using a Bulb-tipped Guide Wire and Kirschner Wire: A Case Report
Moses Lee, Kyu Hyun Yang
J Korean Fract Soc 2010;23(4):377-381.   Published online October 31, 2010
DOI: https://doi.org/10.12671/jkfs.2010.23.4.377
AbstractAbstract PDF
To report the unusual failure of proximal femoral nail antirotation (PFNA) at the level of lag screw hole and introduce a simple technique for removal of a broken intramedullary nail with a narrow hollow using a bulb-tipped guide wire and Kirschner wire.

Citations

Citations to this article as recorded by  
  • Novel Method for Removal of Broken Intramedullary Interlocking Nail with a Subtrochanteric Fracture
    Ashwani Soni, Anmol Sharma, Rajeev Kumar Kansay, Deepam Vashist
    JBJS Case Connector.2019; 9(4): e0182.     CrossRef
  • METHOD FOR REMOVING BROKEN PROXIMAL FEMORAL NAILS USING EXISTING SCREW HOLE
    CHO HONG MAN, MIN WOONG BAE
    Acta Ortopédica Brasileira.2018; 26(1): 72.     CrossRef
  • A blocking-wire technique for removal of a broken hollow intramedullary nail
    Xuan-Lin Zheng, Young-Chang Park, Dong-Hyun Kang, Sang-Ok Seok, Yeo-Kwon Yoon, Kyu-Hyun Yang
    Injury.2016; 47(7): 1601.     CrossRef
  • Removal Methods for Broken Proximal Femoral Nails Using Ball Tip Guide Wire: Technical Note and Two Cases Report
    Bong-Ju Park, Hong-Man Cho
    Journal of the Korean Fracture Society.2014; 27(4): 315.     CrossRef
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Dislocation of the Shoulder with Ipsilateral Humeral Shaft Fracture: A Case Report
Chul Hyun Cho, Kwang Yeung Jeong
J Korean Fract Soc 2010;23(4):382-385.   Published online October 31, 2010
DOI: https://doi.org/10.12671/jkfs.2010.23.4.382
AbstractAbstract PDF
Dislocation of the shoulder with ipsilateral humeral shaft fracture is very rare, but serious injury that requires emergent care. There have been approximately 20 cases reported in the English literature, but it has never been reported in Korea. We report a case of dislocation of right shoulder with ipsilateral humeral shaft fracture which was successfully treated by closed reduction of the shoulder under general anesthesia and internal fixation with antegrade interlocking intramedullary nailing for the humeral shaft fracture.

Citations

Citations to this article as recorded by  
  • Anterior Shoulder Dislocation With an Ipsilateral Humeral Shaft Fracture: A Case Report
    Abdulmalik B Albaker , Ahmad Abdullah A Alsaleh, Mishari Malik Alshammari, Hatim Abdullah Akkasi, Hazzaa Abdullah Hazza Alharbi, Norah Ibrahim S Alqurmulah
    Cureus.2023;[Epub]     CrossRef
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False Negative Bone Scan in 56-year Old Man with L2 Compression Fracture Performed 78 Hours after Trauma: A Case Report
Jeong Gook Seo, Hae Kyun Joo, Sung Tae Kim
J Korean Fract Soc 2010;23(4):386-390.   Published online October 31, 2010
DOI: https://doi.org/10.12671/jkfs.2010.23.4.386
AbstractAbstract PDF
It is very rare that the bone scan after 72 hours from the trauma doesn't exhibit the increased radio-nuclide uptake in the patient with fracture. The purpose of this study is to report the case that indicate the false negative finding in the bone scan performed after 78 hours from the trauma in the 56-year-old man with L2 compression fracture, including a review of the relevant literatures.
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Review Articles
Surgical Treatment of Common Osteoporotic Fracture: Distal Radius
Jong Woong Park
J Korean Fract Soc 2010;23(4):391-398.   Published online October 31, 2010
DOI: https://doi.org/10.12671/jkfs.2010.23.4.391
AbstractAbstract PDF
No abstract available.

Citations

Citations to this article as recorded by  
  • Functional Outcomes of Percutaneous K-Wire Fixation for Distal Radius Fractures with or without Osteoporosis
    Ki-Chan An, Gyu-Min Kong, Jang-Seok Choi, Hi-Chul Gwak, Joo-Yong Kim, Sung-Yub Jin
    Journal of the Korean Fracture Society.2013; 26(4): 248.     CrossRef
  • Results of the Kapandji Procedure in the AO Type C Distal Radius Fracture in Patients over Age 60
    Chul Hong Kim, Sung Soo Kim, Myung Jin Lee, Hyeon Jun Kim, Bo Kun Kim, Young Hoon Lim
    Journal of the Korean Fracture Society.2012; 25(3): 191.     CrossRef
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Acute Compartment Syndrome after Trauma
Chang Wug Oh, Hyun Joo Lee
J Korean Fract Soc 2010;23(4):399-403.   Published online October 31, 2010
DOI: https://doi.org/10.12671/jkfs.2010.23.4.399
AbstractAbstract PDF
No abstract available.

Citations

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  • Design and Feasibility Test of Motorized Hand-Held Devices for Intra-compartmental Pressure Monitoring
    Bomi Yang, Jaeho Hyun, Jingyu Kim, Jihoon Kweon, Jaesoon Choi, Youngjin Moon, Ji Wan Kim
    International Journal of Precision Engineering and Manufacturing.2024; 25(1): 99.     CrossRef
  • Delayed Treatment of Foot Compartment Syndrome: A Case Report and Literature Review
    Jihoon Jang, Young Choi
    Journal of Korean Foot and Ankle Society.2021; 25(1): 46.     CrossRef
  • Acute Compartment Syndrome after Anticoagulant Therapy to Misdiagnosed Deep Vein Thrombosis
    Seok-Ha Hwang, Ho-Seung Jeon, Young-Kyun Woo, Seong-Tae Lim
    Journal of the Korean Orthopaedic Association.2019; 54(2): 177.     CrossRef
  • A Clinical Case Study of Residual Symptoms after Decompression of Traumatic Compartment Syndrome
    Min Jung Ji, Seong Chul Lim, Jae Soo Kim, Hyun Jong Lee, Yun Kyu Lee
    The Acupuncture.2015; 32(3): 197.     CrossRef
  • Diagnosis and Management of Acute Compartment Syndrome
    Keun-Bae Lee, Seung-Hun Lee
    Journal of the Korean Fracture Society.2015; 28(1): 93.     CrossRef
  • Clinical Outcomes of Fasciotomy for Acute Compartment Syndrome
    Ji Yong Park, Young Chang Kim, Ji Wan Kim
    Journal of the Korean Fracture Society.2015; 28(4): 223.     CrossRef
  • Compartment Syndrome of the Gluteus Medius Occurred without Bleeding or Trauma: A Case Report
    Gyu-Min Kong, Yong-Uk Kwon, Jun-Ho Park
    Hip & Pelvis.2015; 27(4): 278.     CrossRef
  • Selection and Recommended Usage Guide of Temporary External Fixator
    Seung-Jae Lim, Ki-Sun Sung, Chang-Wug Oh
    Journal of the Korean Fracture Society.2013; 26(2): 164.     CrossRef
  • 89 View
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VTE Prophylaxis in the Polytrauma Patient
Seung Jae Lim
J Korean Fract Soc 2010;23(4):404-411.   Published online October 31, 2010
DOI: https://doi.org/10.12671/jkfs.2010.23.4.404
AbstractAbstract PDF
No abstract available.

Citations

Citations to this article as recorded by  
  • Deep Vein Thrombosis after Surgery for a Lateral Malleolar Avulsion Fracture with Associated Ligament Injury: A Case Report
    Jin Woo Jin, Sung Jin Shin, Chong Kwan Kim
    Journal of Korean Foot and Ankle Society.2024; 28(4): 169.     CrossRef
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  • 1 Crossref
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