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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
- 2020.1
- 수록면
- 50 - 57 (8page)
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Purpose: To compare outcomes (i.e., clinical and radiological findings, postoperative complication) in the fixation of intertrochanteric fractures with U-blade Gamma3 and Gamma3 nails. Materials and Methods: A review of 162 patients (both male and female) treated for intertrochanteric fractures between December 2012 and December 2018 was conducted. All patients were older than 65 years of age and treated with U-blade Gamma3 (n=90) or Gamma3 (n=72) nails. Evaluations included: (i) screw-head position, (ii) fracture-reduction status, (iii) time to union, (iv) cases of cut-out, (v) tip-apex distance, and (vi) lag screw sliding distance. Differences in pre- and postoperative ambulatory ability was also investigated. Results: There were no significant differences in baseline demographics between the two groups. While the lagscrew sliding distance was significantly shorter in U-blade Gamma3 nail group (4.7 mm vs. 3.6 mm; P=0.025), the mean time to union was similar between the groups (P=0.053). Three and six cases of cut-out were noted in the U-blade Gamma3 and Gamma3 nail groups, respectively (P=0.18), however no other postoperative complications were noted in either group. Lastly, there was no difference between the change from pre- to postoperative activity level between the groups (P=0.753). Conclusion: Of all the clinical and radiological outcomes assessed, the only significant improvement between those treated with U-Blade Gamma and Gamma3 nails was a shorter lag-screw sliding distance. These findings should benefit clinicians when deciding between the use of U-Blade Gamma or Gamma3 nails.
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참고문헌 (17)
참고문헌 신청
Kyle RF / 1995 / Fractures of the proximal part of the femur / Instr Course Lect 44:227~253
Lee YS / 2007 / Dynamic hip screw in the treatment of intertrochanteric fractures : a comparison of two fixation methods / Int Orthop 31:683~688
Ma KL / 2014 / Proximal femoral nails antirotation, Gamma nails, and dynamic hip screws for fixation of intertrochanteric fractures of femur : a metaanalysis / Orthop Traumatol Surg Res 100:859~866
Niu E / 2015 / Which fixation device is preferred for surgical treatment of intertrochanteric hip fractures in the United States? A survey of orthopaedic surgeons / Clin Orthop Relat Res 473:3647~3655
Dávid A / 2000 / Therapeutic possibilities in trochanteric fractures. Safe--fast--stable / Orthopade 29:294~301
Lee YS / 2007 / Dynamic hip screw in the treatment of intertrochanteric fractures : a comparison of two fixation methods / Int Orthop 31:683~688
Ma KL / 2014 / Proximal femoral nails antirotation, Gamma nails, and dynamic hip screws for fixation of intertrochanteric fractures of femur : a metaanalysis / Orthop Traumatol Surg Res 100:859~866
Niu E / 2015 / Which fixation device is preferred for surgical treatment of intertrochanteric hip fractures in the United States? A survey of orthopaedic surgeons / Clin Orthop Relat Res 473:3647~3655
Dávid A / 2000 / Therapeutic possibilities in trochanteric fractures. Safe--fast--stable / Orthopade 29:294~301
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