Abstract

• PURPOSE: We report our experience of treatment of peritrochanteric fractures with newly designed proximal femoral nail. MATERIALS AND METHODS: We have studied 24 cases of the peritrochanteric fractures using PFN between Jun. 2001 and Aug. 2002 excluding 3 cases (1 case expired due to ARF and pulmonary complication, 2 cases were loss of follow-up). The mean age was 69.6 years and the mean duration of follow-up was 12 months. RESULTS: The mean medial cortical displacement of postoperative roentgenogram was 4.6mm, the mean anterior cortical displacement of postoperative roentgenogram was 4.1 mm, the mean degree of sliding of lag screw between postoperative and last follow-up roentgenogram was 1.2 mm. Neck-shaft angle was average 3.3degrees varus angulation (from postoperative average 131.1degrees to last follow-up average 127.8degrees). Allowed to begin weight-bearing at 1 week postoperatively, the mean union time was 10 weeks and all cases showed bony union and there were no evidence of delayed union or nonunion. Perioperatve complications were pulmonary embolism, DVT, varus deformity, 2 thigh pains, and so on. CONCLUSION: We obtained satisfactory results in treatment of the femoral trochanteric fractures using PFN in point of early ambulation, excellent union rate and minimal complication.
• Key words: Femur, Trochanteric fracture, Proximal femoral nail

Figure & Data

REFERENCES

Citations

Citations to this article as recorded by  

• Results of the Proximal Femoral Nail-Antirotation (PFNA) in Patients with an Unstable Pertrochanteric Fracture
  Yerl-Bo Sung, Sung-Il Jo
  The Journal of the Korean Hip Society.2011; 23(1): 39.     CrossRef
• Proximal Femoral Nail Antirotation and Proximal Femoral Nail in Intertrochanteric Fractures
  Sung Soo Kim, Chul Hong Kim, Jin Hun Kang, Dong Hoon Han, Yong Seung O
  Journal of the Korean Orthopaedic Association.2011; 46(5): 392.     CrossRef
• The Comparison between ITST™ (Intertrochanteric/Subtrochanteric) & DHS (Dynamic Hip Screw) in Unstable Femur Intertrochanteric Fracture
  Ho-Seung Jeon, Byung-Mun Park, Kyung-Sub Song, Hyung-Gyu Kim, Jong-Ju Yun
  Journal of the Korean Fracture Society.2009; 22(3): 131.     CrossRef
• Treatment of the Proximal Femoral Fractures with Proximal Femoral Nail Antirotation (PFNA)
  Myung-Sik Park, Young-Jin Lim, Young-Sin Kim, Kyu-Hyung Kim, Hong-Man Cho
  Journal of the Korean Fracture Society.2009; 22(2): 91.     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
• Treatment of Intertrochanteric Fracture: Comparison of Proximal Femoral Nail and Proximal Femoral Nail A
  Jung Ho Park, Jong Woong Park, Joon Ho Wang, Jae Wook Lee, Jung Il Lee, Jae Gyoon Kim
  Journal of the Korean Fracture Society.2008; 21(2): 103.     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