지원사업
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
- 200 - 205 (6page)
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초록· 키워드
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Purpose: Proximal femur fractures are classified into intracapsular neck fractures and extracapsular trochanteric fractures, and several related treatment recommendations in elderly patients have already been introduced. Importantly, we have observed cases of combined intra and extracapsular fractures (i.e., ipsilateral neck and trochanter fractures). The purpose of this study is to report the outcomes of combined neck and trochanter fractures of the femur treated with cephalomedullary nail (CMN) in elderly patients. Materials and Methods: From January 2010 to December 2014, 410 patients with proximal femoral fractures were fixed using CMN; among this group, 37 patients with combined neck and trochanter fractures were identified. Two of these patients died fewer than three months after injury and another two did not return for follow-up. Thirty-three patients were included and reviewed retrospectively in this study. Results: All patients were injured by simple fall. Bone union was obtained in 28 of 33 patients. Of the five patients who failed treatment, three experienced implant penetration through head (cut-through and cut-out), one had breakage of CMN and the last one had a loosening of internal fixation device with persistent non-union at final follow-up. The former four patients underwent hip replacement surgery and the latter refused surgery because he had low demand in daily life and many medical problems. Conclusion: Eighty-five percent of elderly patients with combined neck and trochanter fractures of the femur treated with CMN achieved bone union; these complex fractures require more accurate reduction than usual extra-articular intertrochanteric fractures.
목차
등록된 정보가 없습니다.
참고문헌 (24)
참고문헌 신청
이영균 / 2017 / Trend in the Age-Adjusted Incidence of Hip Fractures in South Korea: Systematic Review / Clinics in Orthopedic Surgery 9(4):420~423
Chen CY / 2008 / Surgical treatment of basicervical fractures of femur--a prospective evaluation of 269 patients / J Trauma 64:427~429
Cobelli NJ / 1985 / Ender rod versus compression screw fixation of hip fractures / Clin Orthop Relat Res (201):123~128
Palm H / 2007 / Integrity of the lateral femoral wall in intertrochanteric hip fractures : an important predictor of a reoperation / J Bone Joint Surg Am 89:470~475
김이석 / 2014 / The Comparison of Compression Hip Screw and Bipolar Hemiarthroplasty for the Treatment of AO Type A2 Intertrochanteric Fractures / Hip and Pelvis 26(2):99~106
Chen CY / 2008 / Surgical treatment of basicervical fractures of femur--a prospective evaluation of 269 patients / J Trauma 64:427~429
Cobelli NJ / 1985 / Ender rod versus compression screw fixation of hip fractures / Clin Orthop Relat Res (201):123~128
Palm H / 2007 / Integrity of the lateral femoral wall in intertrochanteric hip fractures : an important predictor of a reoperation / J Bone Joint Surg Am 89:470~475
김이석 / 2014 / The Comparison of Compression Hip Screw and Bipolar Hemiarthroplasty for the Treatment of AO Type A2 Intertrochanteric Fractures / Hip and Pelvis 26(2):99~106
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