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학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
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연구자들이 자신의 연구와 전문성을 널리 알리고, 새로운 협력의 기회를 만들 수 있는 네트워킹 공간이에요.
논문 기본 정보
- 자료유형
- 학술저널
- 저자정보
- 발행연도
- 2016.1
- 수록면
- 232 - 242 (11page)
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초록· 키워드
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Purpose: We aimed to evaluate and compare the clinical and functional outcomes of dynamic hip screw (DHS) and proximal femoral nail antirotation (PFNA) treatment of AO type 1 intertrochanteric fractures in elderly patients.
Materials and Methods: We retrospectively reviewed 194 consecutive patients with type A1 intertrochanteric femoral fractures who were treated with DHS (n=113) or PFNA (n=81). We evaluated operation time, intraoperative blood loss, and functional outcomes, walking ability, and the Barthel activities index. Fracture union, sliding of hip screw, proximal femur shortening, and presence of complications were assessed radiologically at relevant follow-up intervals.
Results: The mean operation time and blood loss were significantly lower for the PFNA group, but walking ability and Barthel index decreased to a similar extent for both groups. However, patients in the DHS group complained of significantly more pain (P=0.049). Although there were no significant differences between the two groups with respect to the time until fracture union was achieved, patients in the DHS group exhibited a higher extent of proximal femoral shortening and sliding of the hip screw. Differences about hip screw sliding and proximal femur shortening within each subgroup were not significant.
Conclusion: Compared to DHS treatment, PFNA treatment of type A1 intertrochanteric fractures is associated with reduced blood loss, shorter operation time, and less severe pain after surgery. Additionally, sliding of the hip screw and proximal femur shortening are expected to occur more frequently after DHS.
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참고문헌 (21)
참고문헌 신청
Siegmeth AW / 2005 / Delay to surgery prolongs hospital stay in patients with fractures of the proximal femur / J Bone Joint Surg Br 87:1123~1126
Rao JP / 1983 / Treatment of unstable intertrochanteric fractures with anatomic reduction and compression hip screw fixation / Clin Orthop Relat Res 175:65~71
Hardy DC / 1998 / Use of an intramedullary hip-screw compared with a compression hip-screw with a plate for intertrochanteric femoral fractures. A prospective, randomized study of one hundred patients / J Bone Joint Surg Am 80:618~630
Kumar R / 2012 / Comparative prospective study of proximal femoral nail and dynamic hip screw in treatment of intertrochanteric fracture femur / J Clin Orthop Trauma 3:28~36
Kaplan K / 2008 / Surgical management of hip fractures: an evidencebased review of the literature. II: intertrochanteric fractures / J Am Acad Orthop Surg 16:665~673
Rao JP / 1983 / Treatment of unstable intertrochanteric fractures with anatomic reduction and compression hip screw fixation / Clin Orthop Relat Res 175:65~71
Hardy DC / 1998 / Use of an intramedullary hip-screw compared with a compression hip-screw with a plate for intertrochanteric femoral fractures. A prospective, randomized study of one hundred patients / J Bone Joint Surg Am 80:618~630
Kumar R / 2012 / Comparative prospective study of proximal femoral nail and dynamic hip screw in treatment of intertrochanteric fracture femur / J Clin Orthop Trauma 3:28~36
Kaplan K / 2008 / Surgical management of hip fractures: an evidencebased review of the literature. II: intertrochanteric fractures / J Am Acad Orthop Surg 16:665~673
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