Abstract

• 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.
• Key words: Unstable intertrochanteric femoral fracture, Proximal femoral nail

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Citations

Citations to this article as recorded by  

• Cementless Bipolar Hemiarthroplasty for Unstable Intertrochanteic Fractures in the Elderly
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  Journal of the Korean Orthopaedic Association.2011; 46(5): 399.     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
• 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
• Treatment of Intertrochanteric Fracture with Proximal Femoral Nail
  Dae Joong Kim, Sung Chan Ki, Young Yool Chung
  Journal of the Korean Fracture Society.2007; 20(1): 40.     CrossRef