Jung Ho Park; Jong Woong Park; Joon Ho Wang; Jae Wook Lee; Jung Il Lee; Jae Gyoon Kim

doi:10.12671/jkfs.2008.21.2.103

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Original Article
Treatment of Intertrochanteric Fracture: Comparison of Proximal Femoral Nail and Proximal Femoral Nail A: Jung Ho Park, M.D., Jong Woong Park, M.D., Joon Ho Wang, M.D., Jae Wook Lee, M.D., Jung Il Lee, M.D., Jae Gyoon Kim, M.D.; Journal of the Korean Fracture Society 2008;21(2):103-109.
DOI: https://doi.org/10.12671/jkfs.2008.21.2.103
Published online: April 30, 2008

Department of Orthopaedic Surgery, Ansan Hospital, College of Medicine, Korea University, Ansan, Korea.

Address reprint requests to: Jung Ho Park, M.D. Department of Orthopaedic Surgery, Korea University Ansan Hospital, 516, Gojan 1-dong, Danwon-gu, Ansan 425-707, Korea. Tel: 82-31-412-5960, Fax: 82-31-439-3852, canal1@korea.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 results of fracture fixation between using Proximal Femoral Nail and using Proximal Femoral Nail A and to analyze the effectiveness of proximal femoral nail A.
Materials and Methods
We reviewed 32 patients who suffered from intertrochanteric fracture in our hospital, which were 19 cases of PFN and 13 cases of PFNA. Retrospectively we evaluated mean operation time, amount of bleeding, beginning of ambulation, average union period, changes of neck shaft angle and complication on set of telephone interview and OPD. We also evaluated postoperative capability of function and mobility using 'Social function score' and 'Mobility score'.
Results
PFNA showed shorter mean operation time, less bleeding, shorter average union period, earlier ambulation and less change of neck shaft angle than PFN. Although they didn't show statistical difference, postoperative capability of function and mobility showed statistical and mathematical difference on each group.
Conclusion
PFNA showed better results of postoperative function and mobility and less complications than PFN. So treatment using PFNA is better method than that of PFN.
Key words: Intertrochanteric fracture, PFN, PFNA

REFERENCES

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Fig. 1

Proximal femoral nail A (PFNA) and its components (helical blade and its assembly device and nail).

Fig. 2

(A) 72 year old female patient presented with intertrochanteric fracture as AO/ASIF classification A1.1.

(B) We performed closed reduction and intramedullary fixation using PFN.

(C) Radiograph which was taken 3 weeks later shows distal migaration of hip pin and neck screw.

(D) 14 months later post-operatively, radiograph shows more migration of hip pin and neck screw but union was obtained. She complained of pain because of protruded hip pin and neck screw.

Fig. 3

(A) 89 year old female patient presented with intertrochanteric fracture as AO/ASIF classification A2.1.

(B) Postoperative radiograph shows closed reduction and intramedullary fixation using PFN.

(C) Radiograph taken 9 months later shows more migration of hip pin but union was obtained.

(D) So we performed removal of hip pin.

Table 1

The assessment of social function score

Table 2

Mobility score of parker and palmer

Table 3

Comparison of demographic data

Table 4

Comparison of clinical data

^*Age adjusted p-value.

Table 5

Comparison of radiographic results

^*Age adjusted p-value.

Figure & Data

REFERENCES

Citations

Citations to this article as recorded by

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Journal of the Korean Fracture Society.2019; 32(1): 35. CrossRef
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Jae-Cheon Sim, Tae-Ho Kim, Ki-Do Hong, Sung-Sik Ha, Jong-Seong Lee
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Journal of the Korean Fracture Society.2010; 23(4): 360. CrossRef

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Treatment of Intertrochanteric Fracture: Comparison of Proximal Femoral Nail and Proximal Femoral Nail A

J Korean Fract Soc. 2008;21(2):103-109. Published online April 30, 2008

DOI: https://doi.org/10.12671/jkfs.2008.21.2.103

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Figure

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Treatment of Intertrochanteric Fracture: Comparison of Proximal Femoral Nail and Proximal Femoral Nail A

Fig. 1 Proximal femoral nail A (PFNA) and its components (helical blade and its assembly device and nail).

Fig. 2 (A) 72 year old female patient presented with intertrochanteric fracture as AO/ASIF classification A1.1. (B) We performed closed reduction and intramedullary fixation using PFN. (C) Radiograph which was taken 3 weeks later shows distal migaration of hip pin and neck screw. (D) 14 months later post-operatively, radiograph shows more migration of hip pin and neck screw but union was obtained. She complained of pain because of protruded hip pin and neck screw.

Fig. 3 (A) 89 year old female patient presented with intertrochanteric fracture as AO/ASIF classification A2.1. (B) Postoperative radiograph shows closed reduction and intramedullary fixation using PFN. (C) Radiograph taken 9 months later shows more migration of hip pin but union was obtained. (D) So we performed removal of hip pin.

Fig. 1

Fig. 2

Fig. 3

Treatment of Intertrochanteric Fracture: Comparison of Proximal Femoral Nail and Proximal Femoral Nail A

Table 1

The assessment of social function score

Table 2

Mobility score of parker and palmer

Table 3

Comparison of demographic data

Table 4

Comparison of clinical data

^*Age adjusted p-value.

Table 5

Comparison of radiographic results

^*Age adjusted p-value.

Table 1 The assessment of social function score

Table 2 Mobility score of parker and palmer

Table 3 Comparison of demographic data

Table 4 Comparison of clinical data

^*Age adjusted p-value.

Table 5 Comparison of radiographic results

^*Age adjusted p-value.