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
- 2017.1
- 수록면
- 270 - 276 (7page)
이용수
초록· 키워드
오류제보하기
Purpose: A basicervical femoral fracture is defined as a fracture of base of neck of femur that occurs medially from intertrochanteric line above lesser trochanter. In this study, we intended to evaluate radiological and clinical results of basicervical femoral fractures treated by intramedullary nailing.
Materials and Methods: Fifteen patients, who underwent intramedullary nailing among 50 patients, out of 50 who were diagnosed with basicervical femoral fractures from July 2012 to May 2015 were studied. All of 15 patients’ fracture were two-part basicervical fractures. Using radiography, we characterized the: i) state of reduction, ii) location of the lag screw, iii) tip apex distance (TAD), and iv) sliding distance of lag screw and bone union. Additionally, we performed clinical assessment before injury and at final follow-up.
Results: In radiological assessment, we achieved acceptable reduction state in all patients. All lag screws were fixated on appropriate locations. Mean TAD was 17.3 mm (11.0-21.1 mm), which showed insertion point of <25 mm in all cases. The mean sliding distance of the lag screw was 5.1 mm (0.1-16.0 mm) at the final follow-up. The mean bone union period was 4.8 months (3-10 months) with achieving in all cases. In clinical assessment, Harris hip score, visual analogue scale score and Western Ontario and McMaster Universities Arthritis Index score, all of them significantly improved postoperatively compared with preoperative scores (P<0.05).
Conclusion: In elderly patients with basicervical femoral fractures, treatment with intramedullary nailing showed satisfactory results, considered to be a useful method if performed with skilled technique.
목차
등록된 정보가 없습니다.
참고문헌 (22)
참고문헌 신청
Baumgaertner MR / 1995 / The value of the tip-apex distance in predicting failure of fixation of peritrochanteric fractures of the hip / J Bone Joint Surg Am 77 : 1058 ~ 106
Blair B / 1994 / Basicervical fractures of the proximal femur. A biomechanical study of 3 internal fixation techniques / Clin Orthop Relat Res (306) : 256 ~ 263
Cleveland M / 1959 / A ten-year analysis of intertrochanteric fractures of the femur / J Bone Joint Surg Am 41-A : 1399 ~ 1408
Deneka DA / 1997 / Biomechanical comparison of internal fixation techniques for the treatment of unstable basicervical femoral neck fractures / J Orthop Trauma 11 : 337 ~ 343
Dossick PH / 1991 / Techniques for preoperative planning and postoperative evaluation of noncemented hip arthroplasty / Tech Orthop 6 (3) : 1 ~ 6
Blair B / 1994 / Basicervical fractures of the proximal femur. A biomechanical study of 3 internal fixation techniques / Clin Orthop Relat Res (306) : 256 ~ 263
Cleveland M / 1959 / A ten-year analysis of intertrochanteric fractures of the femur / J Bone Joint Surg Am 41-A : 1399 ~ 1408
Deneka DA / 1997 / Biomechanical comparison of internal fixation techniques for the treatment of unstable basicervical femoral neck fractures / J Orthop Trauma 11 : 337 ~ 343
Dossick PH / 1991 / Techniques for preoperative planning and postoperative evaluation of noncemented hip arthroplasty / Tech Orthop 6 (3) : 1 ~ 6
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