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학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
커뮤니티
연구자들이 자신의 연구와 전문성을 널리 알리고, 새로운 협력의 기회를 만들 수 있는 네트워킹 공간이에요.
논문 기본 정보
- 자료유형
- 학술저널
- 저자정보
- 발행연도
- 2019.1
- 수록면
- 95 - 101 (7page)
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초록· 키워드
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Purpose: This study was performed to assess the radiologic and clinical results of U-blade Gamma3 nail use for the treatment of trochanteric fractures. Materials and Methods: Between September 2015 and May 2018, all patients aged 65 years and older who underwent surgery with U-blade Gamma3 nails were analyzed. A total of 129 patients were selected based on having at least six months of follow-up. Image evaluations included bone quality (T-score), fracture classification on plain radiograph (AO/OTA), computed tomography configuration, union period, position of lag screw, anatomical reduction, tip apex distance (TAD), sliding extent of lag screw, change of neck shaft angle, and complications leading to reoperations were analyzed. Functional outcome were assessed using the Koval grade (ambulatory ability) at the final follow-up. Results: The mean time to union was 19.7 (range, 6-36) weeks. The screw position was centric (93 cases; 72.1%) and anatomical reduction was achieved in 74 cases (57.4%). The mean TAD was 20.3 (range, 12.3-38.1)mm. The mean sliding length of the lag screws was 3.8 (range, 0.1-12.6) mm. The mean change of neck shaft angle was 3.4。(range, 0-12.8。). Reoperations were required in two cases (1.6%) due to the cutting out of the lag screw (n=1) and metal failure with U-blade bending (n=1). Finally, Koval grades for 49.8% of patients reached preoperative status. Conclusion: Overall, use of the U-blade Gamma3 nail led to favorable clinical results, suggesting that this system may be a good option for the treatment of trochanteric fractures.
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참고문헌 (21)
참고문헌 신청
Stapert JW / 1993 / First experience and complications with the long Gamma nail / J Trauma 34:394~400
Corrales LA / 2008 / Variability in the assessment of fracture-healing in orthopaedic trauma studies / J Bone Joint Surg Am 90:1862~1868
Koval KJ / 1995 / Ambulatory ability after hip fracture. A prospective study in geriatric patients / Clin Orthop Relat Res (310):150~159
Koval KJ / 1998 / Functional outcome after hip fracture. Effect of general versus regional anesthesia / Clin Orthop Relat Res (348):37~41
Chang SM / 2015 / Fracture reduction with positive medial cortical support : a key element in stability reconstruction for the unstable pertrochanteric hip fractures / Arch Orthop Trauma Surg 135:811~818
Corrales LA / 2008 / Variability in the assessment of fracture-healing in orthopaedic trauma studies / J Bone Joint Surg Am 90:1862~1868
Koval KJ / 1995 / Ambulatory ability after hip fracture. A prospective study in geriatric patients / Clin Orthop Relat Res (310):150~159
Koval KJ / 1998 / Functional outcome after hip fracture. Effect of general versus regional anesthesia / Clin Orthop Relat Res (348):37~41
Chang SM / 2015 / Fracture reduction with positive medial cortical support : a key element in stability reconstruction for the unstable pertrochanteric hip fractures / Arch Orthop Trauma Surg 135:811~818
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