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
- 2017.6
- 수록면
- 104 - 112 (9page)
- DOI
- 10.5371/hp.2017.29.2.104
이용수
초록· 키워드
오류제보하기
Purpose: We evaluated the geometric discrepancies between the proximal femur in Koreans and two types of proximal femoral nail using plain radiographs.
Materials and Methods: A total of 100 consecutive patients (38 treated with proximal femoral nail antirotation [PFNA], 62 PFNA II) with intertrochanteric fracture were retrospectively identified. The minimum follow up period was 32 months. The geometric analysis of the proximal femur was performed using preoperative true hip antero-posterior radiographs of the unaffected side, and the data were compared with the PFNA and PFNA II dimensions. Postoperative assessments were performed using postoperative radiographs for the proximal protruding length of nail tip, quality of reduction, implant position and the presence of lateral cortical impingement.
Results: The geometric dimensions of the proximal femur were different between the two proximal femoral nail types. No impingement was detected in patients treated with PFNA II, whereas 13 cases of lateral impingement were observed in patients treated with PFNA. A significant association was observed between the short proximal femur and the presence of lateral cortical impingement (P=0.032) and between impingement and intraoperative reduction loss (P=0.012). Proximal protrusion of the nail tip was seen in 71 patients and no difference was observed between two groups.
Conclusion: Our study demonstrates that the flat lateral surface of PFNA II can avoid lateral cortical impingement, which provide better fixation for intertrochanteric fracture. However, there was still a problem associated with longer proximal end of PFNA II compared with the proximal femoral length in Korean.
목차
등록된 정보가 없습니다.
참고문헌 (22)
참고문헌 신청
Gardenbroek TJ / 2011 / The proximal femur nail antirotation: an identifiable improvement in the treatment of unstable pertrochanteric fractures? / J Trauma 71:169~174
Garg B / 2011 / Outcome of short proximal femoral nail antirotation and dynamic hip screw for fixation of unstable trochanteric fractures. A randomised prospective comparative trial / Hip Int 21:531~536
Strauss E / 2006 / Helical blade versus sliding hip screw for treatment of unstable intertrochanteric hip fractures: a biomechanical evaluation / Injury 37:984~989
Xu YZ / 2010 / A comparison of the proximal femoral nail antirotation device and dynamic hip screw in the treatment of unstable pertrochanteric fracture / J Int Med Res 38:1266~1275
Verettas DA / 2010 / Systematic effects of surgical treatment of hip fractures : gliding screwplating vs intramedullary nailing / Injury 41:279~284
Garg B / 2011 / Outcome of short proximal femoral nail antirotation and dynamic hip screw for fixation of unstable trochanteric fractures. A randomised prospective comparative trial / Hip Int 21:531~536
Strauss E / 2006 / Helical blade versus sliding hip screw for treatment of unstable intertrochanteric hip fractures: a biomechanical evaluation / Injury 37:984~989
Xu YZ / 2010 / A comparison of the proximal femoral nail antirotation device and dynamic hip screw in the treatment of unstable pertrochanteric fracture / J Int Med Res 38:1266~1275
Verettas DA / 2010 / Systematic effects of surgical treatment of hip fractures : gliding screwplating vs intramedullary nailing / Injury 41:279~284
함께 읽어보면 좋을 논문
논문 유사도에 따라 DBpia 가 추천하는 논문입니다. 함께 보면 좋을 연관 논문을 확인해보세요!
-
Comparison of osteoporotic intertrochanteric fracture fixation using a proximal femoral nail with a helical blade and lag screw type proximal femoral nail
Medical Biological Science and Engineering
2018 .07
-
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
2016 .01
-
대퇴골 전자간 골절 환자에서 125도와 130도의 각도를 가진 제2형 항회전 근위 대퇴 골수정을 이용한 수술의 임상적, 방사선학적 결과 비교
대한골절학회지
2020 .01
-
대퇴골 전자간 골절 환자에서 TRIGENTM INTERTAN Nail (InterTAN)과 제2형 항회전 근위 대퇴골수정(PFNA2)의 수술적 결과 비교
대한골절학회지
2016 .01
-
Comparison of the Clinical and Radiological Outcomes of TFNA (Trochanteric Fixation Nail-Advanced) and PFNA-II (Proximal Femoral Nail Antirotation-II) Treatment in Elderly Patients with Intertrochanteric Fractures
대한골절학회지
2022 .10
-
Clinical and Radiologic Outcomes among Bipolar Hemiarthroplasty, Compression Hip Screw and Proximal Femur Nail Antirotation in Treating Comminuted Intertrochanteric Fractures
Hip and Pelvis
2015 .01
-
Surgical Treatment of Undisplaced Femur Neck Fractures in Dementia Patients Using Proximal Femoral Nail Antirotation
Hip and Pelvis
2015 .01
-
불안정성 대퇴골 전자간 골절에 대한 제2형 항회전 근위 대퇴 골수정 내고정술의 치료 결과
대한정형외과학회지
2015 .08
-
Treatment of Proximal Femur Osteomyelitis Occurred after Proximal Femoral Nail Antirotation Fixation, with Antibiotic Cement-coated Tibia Intramedullary Nail: A Case Report
Hip and Pelvis
2018 .01
-
Rupture of the Deep Femoral Artery during Proximal Femoral Nailing Following an Intertrochanteric Fracture: A Case Report
Hip and Pelvis
2016 .01
-
Proximal Femoral Geometry as Fracture Risk Factor in Female Patients with Osteoporotic Hip Fracture
대한골대사학회지
2016 .01
-
Intrapelvic Penetration of Lag Screw in Proximal Femoral Nailing - A Case Report -
대한골절학회지
2017 .01
-
Usefulness of Synthetic Osteoconductive Bone Graft Substitute with Zeta Potential Control for Intramedullary Fixation with Proximal Femur Nail Antirotation in Osteoporotic Unstable Femoral Intertrochanteric Fracture
Hip and Pelvis
2021 .12
-
Factors Associated with Mechanical Complications in Intertrochanteric Fracture Treated with Proximal Femoral Nail Antirotation
Hip and Pelvis
2021 .09
-
Proximal humerus fracture - Plate fixation vs nailing
대한견주관절의학회 학술대회논문집
2015 .04
-
Clinical Results of Complex Subtrochanteric Femoral Fractures with Long Cephalomedullary Hip Nail
Hip and Pelvis
2017 .06
-
Surgical Treatment of Ipsilateral Multi-Level Femoral Fracture Treated Using Antegrade Intramedullary Nail
Journal of trauma and injury : JTI
2018 .01
-
Proximal Femoral Shortening after Operation with Compression Hip Screws for Intertrochanteric Fracture in Patients under the Age of 60 Years
Hip and Pelvis
2015 .01
-
Surgical Results of the Cephalomedullary Nail for the Femoral Intertrochanteric Fracture: Comparison between Non-experienced Surgeons and Experienced Surgeon
Hip and Pelvis
2016 .01
-
Proximal Tibia Fracture after Proximal Tibia Autograft Harvest
Journal of trauma and injury : JTI
2017 .01
이 논문의 저자 정보
최근 본 자료
댓글(0)
0