PURPOSE To review the clinical and radiographic results of the treatment of unstable intertrochanteric femoral fractures with a proximal femoral nail (PFN). MATERIALS AND METHODS We reviewed 47 unstable intertrochanteric femoral fracture cases that had been treated with a PFN operatively. The clinical and radiographic results and complications were analyzed. The mean age was 76.8 years old (62~96 years old) and the mean duration of follow-up was 15 months (12~24 months). RESULTS The postoperative walking ability was regarded as satisfactory when the patient could walk alone using an walking frame without others aids and satisfactory results was achieved in 43 cases (91.5%). In all cases the radiologic bone union was obtained. The average sliding of femoral neck screw was 3.0 mm and the average change of neck-shaft angle was 2.6 degree. There were three cases of postoperative complication which were including 1 case of cut-out of femoral neck screw, local superficial infection in 1 case and pain complaints over trochanteric area in 1 case. CONCLUSION The PFN is an useful implant for the treatment of unstable intertrochanteric femoral fracture because of the simplicity of the surgical technique and the low level of the complications encountered.
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Comparison Study of Intertrochanteric Fractures Treated with Intertrochanteric/subtrochanteric Fixation with a Standard vs a Mini-incision Se Dong Kim, Oog Jin Sohn, Jae Ho Cho Journal of the Korean Fracture Society.2008; 21(1): 1. CrossRef
Complications of Femoral Pertrochanteric Fractures Treated with Proximal Femoral Nail (PFN) Kee-Byoung Lee, Byung-Taek Lee Journal of the Korean Fracture Society.2007; 20(1): 33. CrossRef
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Femoral head fracture associated with posterior dislocation of the hip had been considered a rare industrial injury. However, with advances in high-speed travel its incidence increased. Previously, intertrochanteric fractures associated with posterior dislocation of hip had not been reported. Here, we report on cases of intertrochanteric fracture associated with posterior dislocation of the hip.