Ho-Seung Jeon; Byung-Mun Park; Kyung-Sub Song; Hyung-Gyu Kim; Jong-Ju Yun

doi:10.12671/jkfs.2009.22.3.131

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Original Article
The Comparison between ITST(TM) (Intertrochanteric/Subtrochanteric) & DHS (Dynamic Hip Screw) in Unstable Femur Intertrochanteric Fracture: Ho-Seung Jeon, M.D., Byung-Mun Park, M.D., Kyung-Sub Song, M.D., Hyung-Gyu Kim, M.D., Jong-Ju Yun, M.D.; Journal of the Korean Fracture Society 2009;22(3):131-137.
DOI: https://doi.org/10.12671/jkfs.2009.22.3.131
Published online: July 31, 2009

Department of Orthopedic Surgery, Kwangmyung Sung-Ae General Hospital, Gwangmyung, Korea.

^*Department of Orthopedic Surgery, Sung-Ae General Hospital, Seoul, Korea.

Address reprint requests to: Kyung-Sub Song, M.D. Department of Orthopedic Surgery, Gwangmyung Sung-Ae General Hospital, 389, Cheolsan 3-dong, Gwangmyung 423-711, Korea. Tel: 82-2-2680-7233, Fax: 82-2-2680-7755, sksub@paran.com

• Received: November 8, 2008 • Revised: December 27, 2008 • Accepted: April 27, 2009

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 between DHS and ITST nail (2^nd generation) on the treatment of unstable femur intertrochanteric fracture in patients over 70 years old.
Materials and Methods
61 cases of unstable intertrochanteric fracture (grouped 37 patients with DHS and 24 patients with ITST) who were taken the operation from Mar. 2003 to Sep. 2007 were analysed regarding to union time, sliding length of lag screws, operation time, blood loss, postoperative complications and functional recovery score by Skovron.
Results
The mean union time was 14.7 weeks in study group (ITST). The mean union time was 16.2 weeks in control group (DHS). The lag screw slidings were 7.2 mm in study group and 8.7 mm in control group. The operation times were 57.9 min in study group and 76.9 min in control group. The amount of blood loss were 67.7 ml in study group and 227.4 ml in control group. The complications were 4 cases in study group and 4 cases in control group. The Skovron recovery scores were 76.5% in study group and 73.7% in control group.
Conclusion
From a practical point of short operation time, less amount of bleeding and less complication, author think that the ITST nail is useful implant for treatment of unstable femur intertrochanteric fracture in patient of old age.
Key words: Unstable intertrochanteric fracture, DHS (Dynamic Hip Screw), ITST (Intertrochanteric/Subtrochanteric) IM nail

REFERENCES

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Fig. 1

(A) Initial radiograph in 84-year-old woman shows unstable intertrochanteric fracture according to EVANS classification.

(B, C) Immediate postoperative radiograph of internal fixation with DHS and TSP.

(D, E) Postoperative 14 months radiograph shows complete union of fracture site, 3 mm slippage of lag screw and 3 degree change of neck-shaft angle without lateral displacement of greater trochanter.

Fig. 2

(A, B) Initial radiograph in 76-year-old man shows unstable intertrochanteric fracture according to EVANS classification.

(C, D) Immediate postoperative radiograph shows that fixation was done with ITST, lag screw was placed in center.

(E, F) Postoperative 8 months radiograph shows complete union of fracture site, 2 mm slippage of lag screw.

Table 1

Comparison between DHS and ITST in unstable intertrochanteric fracture

^*W.B.: Weight bearing, ^†p<0.05.

Figure & Data

REFERENCES

Citations

Citations to this article as recorded by

Unstable Intertrochanteric Fracture Treated with ITST: A Comparative Study between Groups with and without Comminution of Greater Trochanter
Kyung-Sub Song, Sang-Ho Lee, Seong-Hun Jeong, Su-Keon Lee, Sung-Ha Hong
Journal of the Korean Fracture Society.2014; 27(1): 36. CrossRef
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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The Comparison between ITST(TM) (Intertrochanteric/Subtrochanteric) & DHS (Dynamic Hip Screw) in Unstable Femur Intertrochanteric Fracture

J Korean Fract Soc. 2009;22(3):131-137. Published online July 31, 2009

DOI: https://doi.org/10.12671/jkfs.2009.22.3.131

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The Comparison between ITST(TM) (Intertrochanteric/Subtrochanteric) & DHS (Dynamic Hip Screw) in Unstable Femur Intertrochanteric Fracture

Fig. 1 (A) Initial radiograph in 84-year-old woman shows unstable intertrochanteric fracture according to EVANS classification. (B, C) Immediate postoperative radiograph of internal fixation with DHS and TSP. (D, E) Postoperative 14 months radiograph shows complete union of fracture site, 3 mm slippage of lag screw and 3 degree change of neck-shaft angle without lateral displacement of greater trochanter.

Fig. 2 (A, B) Initial radiograph in 76-year-old man shows unstable intertrochanteric fracture according to EVANS classification. (C, D) Immediate postoperative radiograph shows that fixation was done with ITST, lag screw was placed in center. (E, F) Postoperative 8 months radiograph shows complete union of fracture site, 2 mm slippage of lag screw.

Fig. 1

Fig. 2

The Comparison between ITST(TM) (Intertrochanteric/Subtrochanteric) & DHS (Dynamic Hip Screw) in Unstable Femur Intertrochanteric Fracture

Table 1

Comparison between DHS and ITST in unstable intertrochanteric fracture

^*W.B.: Weight bearing, ^†p<0.05.

Table 1 Comparison between DHS and ITST in unstable intertrochanteric fracture

^*W.B.: Weight bearing, ^†p<0.05.