PURPOSE To evaluate the usefulness of IM Ender nail in treating femoral intertrochanteric fractures with high risks including cardiovascular disease, pulmonary disease, liver cirrhosis, cerebrovascular disease, metastatic cancer, and skin problem at hip joint region. MATERIALS AND METHODS Thirty-five patients of pre-existing diseases and femoral intertrochanteric fractures treated with Ender nailing, January 1990 to November 1997. Under the c-arm guided, closed reduction and internal fixation were performed using Ender nails, We analized operation time, blood loss, bone union, ambulation time and complications RESULTS: Mean operation time was 55 minutes, mean blood loss was 120 ml, mean radiological bone union was 12 weeks and average of partial weight bearing was 6.9 days. Postoperative complications were gastrointestinal discomfort in 3 cases, superficial wound infection in 1 case, knee pain in 7 cases, inguinal pains in 5 cases, distal migration of nails in 3 cases, varus deformity in 2 cases, proximal migration of nail with nonunion in 1 case. CONCLUSION The intramedullary ender nail is useful method in treating femoral intertrochanteric fractures in high risk patients of anesthesia and blood loss or skin problem at hip joint region.
PURPOSE The purpose of this study was to evaluate the effectiveness and advantage of bipolar hemiarthroplasty in treatment of unstable femoral intertrochanteric fracture in elderly patients. MATERIALS AND METHODS We reviewed 93 patients and followed up more than one year. Group I(n=34, Singh index <3 with more than 70 year old) were treated by bipolar hemiarthroplasty. Group II(n=20) with same condition were treated by compression hip screw. Group III(n=39, Singh index >4 with more than 70 year old) were treated by compression hip screw. RESULTS Group I and III patients showed satisfactory result over than good by merle D 'Aubigne hip rating scale. Among Group II(n=20), 16 cases showed under 'poor 'according to functional scale. Complication was 1 cases in group I, 19 cases in group II and 8 cases in group III. CONCLUSION We suggest bipolar hemiarthroplasty as first choice of treatment for osteoporotic elderly patients with unstable intertrochanteric fracture, especially who have combined medical problems or poor general condition.
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Analysis of Missed Fractures by Bone Scan in Elderly Hip Fracture Patients with Osteoporosis Tae Hun Lee, Yeong Hyun Lee, Seo Won Kang Journal of the Korean Fracture Society.2024; 37(3): 144. CrossRef
PURPOSE The aim of this study was attempted to evaluate the effects of impacted cancellous allograft and valgus fixation in the management of nonunion of intertrochanteric fracture of the femur. MATERIALS AND METHODS Between June 1995 and October 1999, 5 patients, ranging from 38 to 75 years of age, with nonunion of femoral intertrochanteric fracture, whose primary treatment had been done with compression hip screws, were treated with impacted cancellous allograft and valgus fixation RESULTS: After follow-up from 13 months to 24 months, among the 5 cases, 4 cases resulted in the union in a mean time of 16 weeks, improvement of LLD in a mean length of 0.8cm and good function of abduction, but 1 case resulted in nonunion, followed by total hip arthroplasty. CONCLUSION For patients with nonunion of femoral intertrochanteric fracture, impacted cancellous allograft and valgus fixation provide a good result of union.