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
- 190 - 199 (10page)
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초록· 키워드
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Purpose: To evaluate the clinical characteristics of intertrochanteric or subtrochanteric fractures associated with ipsilateral femoral shaft fractures and assess the surgical outcomes of a novel, closed intramedullary nailing surgical approach designed to minimize fixation failure. Materials and Methods: Between May 2013 and April 2017, 31 patients with intertrochanteric or subtrochanteric fractures associated with ipsilateral femoral shaft fractures treated with closed intramedullary nailing or long proximal femoral nail antirotation (PFNA) were enrolled in this study. Preoperative data included age, sex, injury severity score, body mass index, location of shaft fracture, injury mechanism, accompanying traumatic injury, walking ability before injury, and surgical timing. Perioperative outcomes, including follow-up period, types of intramedullary nails, number of blocking screws used, operation time, and blood loss were assessed. Radiologic outcomes, including union rate, time from surgery to union, and femoral shortening, and clinical outcomes, including hip flexion, walking ability, and Harris hip score were also evaluated. Results: A total of 29 unions (93.5%) were achieved. The time to union was 16.8 months (range, 11-25 months) for hip fractures (15.7 weeks for intertrochanteric fractures and 21.7 weeks for subtrochanteric fractures) and 22.8 months for femoral shaft fractures. There were no significant differences in surgical outcomes between the two groups except for type of intramedullary nail. Conclusion: Closed intramedullary nailing in the treatment of intertrochanteric or subtrochanteric fractures
목차
등록된 정보가 없습니다.
참고문헌 (22)
참고문헌 신청
Bali K / 2013 / Cephalomedullary fixation for femoral neck/intertrochanteric and ipsilateral shaft fractures : surgical tips and pitfalls / Chin J Traumatol 16:40~45
Peskun C / 2008 / Functional outcome of ipsilateral intertrochanteric and femoral shaft fractures / J Orthop Trauma 22:102~106
Casey MJ / 1979 / Ipsilateral concomitant fractures of the hip and femoral shaft / J Bone Joint Surg Am 61:503~509
Olsen M / 2018 / Biomechanical testing of a 3-hole versus a 4-hole sliding hip screw in the presence of a retrograde intramedullary nail for ipsilateral intertrochanteric and femur shaft fractures / J Orthop Trauma 32:419~424
McConnell A / 2008 / The biomechanics of ipsilateral intertrochanteric and femoral shaft fractures : a comparison of 5 fracture fixation techniques / J Orthop Trauma 22:517~524
Peskun C / 2008 / Functional outcome of ipsilateral intertrochanteric and femoral shaft fractures / J Orthop Trauma 22:102~106
Casey MJ / 1979 / Ipsilateral concomitant fractures of the hip and femoral shaft / J Bone Joint Surg Am 61:503~509
Olsen M / 2018 / Biomechanical testing of a 3-hole versus a 4-hole sliding hip screw in the presence of a retrograde intramedullary nail for ipsilateral intertrochanteric and femur shaft fractures / J Orthop Trauma 32:419~424
McConnell A / 2008 / The biomechanics of ipsilateral intertrochanteric and femoral shaft fractures : a comparison of 5 fracture fixation techniques / J Orthop Trauma 22:517~524
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