Journal of Musculoskeletal Trauma

Original Article

Analysis of Failures of Union of the Intertrochanteric Femoral Fractures: Sung Soo Kim, Sung Keun Sohn, Myung Jin Lee, Min Soo Kang, Sang Kook Kim; J Korean Soc Fract 2003;16(4):456-464. Published online October 31, 2003; DOI: https://doi.org/10.12671/jksf.2003.16.4.456

PURPOSE
The purpose of this study was to analyze the factors influencing the failure of union in the intertrochanteric femoral fractures.
MATERIALS AND METHODS
Authors divided the patients treated with lag screws into two groups, 9 cases of the non-union group and 46 cases of the union group. And analyzed the preoperative, intraoperative and postoperative factors influencing the union.
RESULTS
Age, displacement in AP film after surgery, displacement of lesser trochanter after surgery, superior or anterior position of lag screw, displacement of lag screw and change of neck-shaft angle were significantly higher in the non-union group. Displacement in AP radiograph after surgery and displacement of lag screw were two significant factors by multivariate logistic regression analysis.
CONCLUSION
In case of intertrochanteric fracture treated with lag screw, the probabilities of union failure are increased when the displacement is more than 5 mm in AP plane postoperatively and the sliding of lag screw is more than 10 mm in follow-up.

Citations

Citations to this article as recorded by

Safety and Effectiveness of the Anchor Augmentation with Bone Cement on Osteoporotic Femoral Fracture: A Systematic Reviews
So Young Kim
Journal of the Korean Fracture Society.2019; 32(2): 89. CrossRef
Treatment of Failed Intertrochanteric Fractures to Maintain the Reduction in Elderly Patients
Soon-Yong Kwon, Hyun-Woo Park, Sang-Uk Lee, Soo-Hwan Kang, Jae-Young Kwon, Jung-Hoon Do, Seung-Koo Rhee
Journal of the Korean Fracture Society.2008; 21(4): 267. CrossRef

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