Se Dong Kim; Oog Jin Sohn; Jae Ho Cho

doi:10.12671/jkfs.2008.21.1.1

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Original Article
Comparison Study of Intertrochanteric Fractures Treated with Intertrochanteric/subtrochanteric Fixation with a Standard vs a Mini-incision: Se Dong Kim, M.D., Oog Jin Sohn, M.D., Jae Ho Cho, M.D.; Journal of the Korean Fracture Society 2008;21(1):1-7.
DOI: https://doi.org/10.12671/jkfs.2008.21.1.1
Published online: January 31, 2008

Department of Orthopaedic Surgery, Yeungnam University Hospital, Daegu, Korea.

Address reprint requests to: Oog Jin Sohn, M.D. Department of Orthopedic Surgery, Yeungnam University Hospital, 317-1, Daemyeong 5-dong, Nam-gu, Daegu 705-717, Korea. Tel: 82-53-620-3647, Fax: 82-53-628-4020, ossoj@med.yu.ac.kr

This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0/) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.

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Abstract
REFERENCES

Abstract

Purpose
To evaluate the radiographic, clinical results between who had intertrochnateric fracture, treated with ITST with a standard or a mini-incision.
Materials and Methods
We selected each 20 patients of intertrochanteric fracture which were treated with ITST with a standard incision or a mini-incision from June 2004 to July 2006. We compared of mean operative time, transfusion doses and postoperative VAS score between two groups. We evaluated the radiographic results by follow-up radiography and the clinical results with the mobility score of Parker and Palmer and Salvati and Wilson hip function scoring system.
Results
Mean operative time, transfusion doses and postoperative VAS score were significantly less in the mini-incision there were 87.8 min., 2.0 pints and 4.2 for the standard group versus 40.3 min., 1.1 pints and 3.3 for the mini group. The radiographic results were not significantly different. Decrease of mobility score of Parker and Palmer and Salvati and Wilson hip function scoring system were similar.
Conclusion
Mini-incision significantly reduces operative time, transfusion doses and postoperative pain for fixation intertrochanteric fracture treated with ITST.
Key words: Femur intertrochanteric fracture, Intertrochanteric/subtrochanteric fixation, Mini-incision

REFERENCES

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Fig. 1

Gross photography of ITST (intertrochanteric/subtrochanteric) intermedullary nail.

Fig. 2

(A) Standard incision.

(B) Mini-incision.

Fig. 3

Postoperative pain.

Table 1

Intra-, postoperative data of the two groups

Table 2

Comparison of radiologic results between the two groups

Table 3

Comparison of clinical results between the two groups

Figure & Data

REFERENCES

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Treatment of the Intertrochanteric Femoral Fracture with Proximal Femoral Nail: Nailing Using the Provisional K-wire Fixation
Gu-Hee Jung
Journal of the Korean Fracture Society.2011; 24(3): 223. CrossRef

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