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.
초록· 키워드
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Purpose: The aim of this study was to investigate the utility of percutaneous wiring in the reduction of reverse oblique trochanteric fractures (AO classification 31-A3.3) by analyzing the treatment results with or without the use of percutaneous wiring. Materials and Methods: Thirty-five cases from January 2008 to August 2014 that could be followed-up for at least one year were selected among patients with unstable trochanteric fractures who underwent either internal fixation or open reduction. Seventeen patients underwent surgery with percutaneous wire fixation but another 18 patients underwent surgery without it. All patients received a closed reduction and internal fixation with an intramedullary nail. The factors evaluated were as follows: the length of operation, loss of blood, length of in-hospital stay, lower limb function scale, return to preinjury daily life, change in femur neck shaft angle, postoperative gap of the fracture site, time taken for bone attachment, quality of post-operative reduction, and complications. Results: No significant difference in the mean operative time, loss of blood, length of in hospital stay, lower limb function scale, return to pre-injury daily life, change in femur neck shaft angle, postoperative gap of the fracture site, and quality of postoperative reduction was observed between the two groups. A significant difference was noted in the time taken for bone attachment (p=0.032). Bone attachment took 13.3 weeks (9-17 weeks) on average when fixed with percutaneous wiring and no patient was found to have any complications. When treated without percutaneous wiring, however, bone attachment took 17.8 weeks (12.5-28.0 weeks) on average and three cases resulted in delayed union. Conclusion: Percutaneous wiring is a recommended treatment option for patients with an unstable trochanteric fracture.
목차
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참고문헌 (18)
참고문헌 신청
Nikolaou VS / 2008 / What’s new in the management of proximal femoral fractures? / Injury 39:1309~1318
Perren SM / 2002 / Evolution of the internal fixation of long bone fractures. The scientific basis of biological internal fixation: choosing a new balance between stability and biology / J Bone Joint Surg Br 84:1093~1110
de Vries JS / 2006 / Treatment of subtrochanteric nonunions / Injury 37:203~211
Loizou CL / 2010 / Classification of subtrochanteric femoral fractures / Injury 41:739~745
Kennedy MT / 2011 / Subtrochanteric hip fractures treated with cerclage cables and long cephalomedullary nails: a review of 17 consecutive cases over 2 years / Injury 42:1317~1321
Perren SM / 2002 / Evolution of the internal fixation of long bone fractures. The scientific basis of biological internal fixation: choosing a new balance between stability and biology / J Bone Joint Surg Br 84:1093~1110
de Vries JS / 2006 / Treatment of subtrochanteric nonunions / Injury 37:203~211
Loizou CL / 2010 / Classification of subtrochanteric femoral fractures / Injury 41:739~745
Kennedy MT / 2011 / Subtrochanteric hip fractures treated with cerclage cables and long cephalomedullary nails: a review of 17 consecutive cases over 2 years / Injury 42:1317~1321
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