PURPOSE We have used the proximal femoral nailing (PFN(R)) to evaluate the result of treatment for unstable femoral peritrochanteric fractures. MATERIALS AND METHODS From December 2000 to December 2001, 20 patients who had femoral peritrochanteric fracture were treated with proximal femoral nail (PFN(R)) in our hospital. The mean duration of follow-up was 16.8 months and average age was 58.7 years old. We evaluated the ambulation time, bone union time, neck-shaft angle, neck screw sliding by follow-up radiography, and studied the intra-operative and post-operative complication. RESULTS The average ambulation time was 3.8 days, the mean bone union time was 20.9 weeks, the mean neck shaft angle was 130.2 degree at post-operative time and 128.8 degree at last follow-up time, and the average neck screw sliding distance was 4.1 mm. The intra-operative complication was rotation of proximal fracture fragment in 1 case and displacement of femoral greater trochanter in 2 cases at proximal reaming, and displacement of proximal fracture fragment in 1 case at femoral stem insertion. The post-operative complication was coxa vara deformity in 2 cases and superficial wound infection in 1 case. CONCLUSION We have conclude that the proximal femoral nail (PFN(R)) could appropriately treat the unstable femoral peritrochanteric fracture and we obtained satisfactory results.
Citations
Citations to this article as recorded by
Treatment of Unstable Pertrochanteric Fractures with a Long Intramedullary Nail Phil Hyun Chung, Suk Kang, Jong Pil Kim, Young Sung Kim, Ho Min Lee, Dae Jung Huh Hip & Pelvis.2013; 25(1): 51. CrossRef
Operative Treatment with ITST in Femur Trochanteric Fracture Ki-Do Hong, Jae-Chun Sim, Sung-Sik Ha, Jae-Young Kim, Jung-Ho Kang, Kwang-Hee Park Journal of the Korean Fracture Society.2008; 21(4): 274. CrossRef
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