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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.
초록· 키워드
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Purpose: This study seeks to determine the anatomically optimal entry point of proximal femoral nail antirotation-II (PFNA-II®) according to geographic features of Korean cadaveric femoral trochanters for successful reduction of osteoporotic proximal femoral fractures. Materials and Methods: Forty-three adult cadaveric femurs without previous fractures or surgeries were included. Anteroposterior (AP) and lateral images of all femurs and PFNA-II® were taken with an image intensifier. Using the image synthesis process via the image editing program (Adobe Photoshop CS6), the optimal entry point was verified and compared with the tip of the greater trochanter (GT) and the cervicotro-chanteric junction on AP images, as well as the width of the trochanter and the neck on lateral images. Results: The optimal entry point of PFNA-II® was an average distance of 9.1 mm (range, 7-15 mm) medially from the tip of GT on AP images. The center of the nail was located at an average of 30% (range, 21%-44%) area from the posterior margin of the middle neck, which is an average area of 38% (range, 26%-48%) from the posterior cortex of the trochanter on lateral images. Furthermore, the ideal entry point was at the extended line of the cervico-trochanteric junction. Conclusion: The optimal entry point, which was found to be medial to the tip of the GT and posterior to the center of the middle femoral neck and the trochanter, was at on the extended line of the cervicotrochanteric junction.
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참고문헌 (40)
참고문헌 신청
조홍만 / 2016 / Clinical and Functional Outcomes of Treatment for Type A1 Intertrochanteric Femoral Fracture in Elderly Patients: Comparison of Dynamic Hip Screw and Proximal Femoral Nail Antirotation / Hip and Pelvis 28(4):232~242
Mavrogenis AF / 2016 / Complications after hip nailing for fractures / Orthopedics 39:e108~e116
Aktselis I / 2014 / Prospective randomised controlled trial of an intramedullary nail versus a sliding hip screw for intertrochanteric fractures of the femur / Int Orthop 38:155~161
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
Tsukada S / 2012 / Postoperative stability on lateral radiographs in the surgical treatment of pertrochanteric hip fractures / Arch Orthop Trauma Surg 132:839~846
Mavrogenis AF / 2016 / Complications after hip nailing for fractures / Orthopedics 39:e108~e116
Aktselis I / 2014 / Prospective randomised controlled trial of an intramedullary nail versus a sliding hip screw for intertrochanteric fractures of the femur / Int Orthop 38:155~161
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
Tsukada S / 2012 / Postoperative stability on lateral radiographs in the surgical treatment of pertrochanteric hip fractures / Arch Orthop Trauma Surg 132:839~846
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