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학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
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논문 기본 정보
- 자료유형
- 학술저널
- 저자정보
- 저널정보
- 조선대학교 의학연구원 Medical Biological Science and Engineering Medical Biological Science and Engineering Vol.1 No.2
- 발행연도
- 2018.7
- 수록면
- 45 - 50 (6page)
- DOI
- 10.30579/mbse.2018.1.2.45
이용수
초록· 키워드
오류제보하기
The aim of the study was to compare clinical and radiological results between the helical blade lag screw (proximal femoral nail antirotation II [PFNA II]) and the traditional lag screw (Zimmer Natural Nail [ZNN]) in the operative treatment of osteoporotic femur intertrochanteric fractures. We selected 182 patients who could be observed for at least 1 year from among 352 patients who received surgical treatment for osteoporotic isolated femur intertrochanteric fractures between January 2013 and December 2016. The PFNA II was applied in 110 cases, and the ZNN in 72 cases. We evaluated operation time, bleeding amount, quality of reduction, tip apex distance, bone union time, sliding distance, and lag screw position. The mean operation times and bleeding volumes were respectively 38 minutes and 224 mL for PFNA II, and 42 minutes and 234 mL for ZNN. The quality of reduction was good, acceptable, and poor in 71%, 25%, and 4% for PFNA II, and 68%, 31%, and 1% for ZNN, respectively. The mean tip apex distances, bone union times, and sliding distances were respectively 21.1 and 20.7 mm, 12.4 and 12.9 weeks, and 4.2 and 3.9 mm. The lag screw position was acceptable and poor in 95% and 5% for PFNA II, and 97% and 3% for ZNN, respectively. The design of the lag screw did not influence the surgical outcome in the osteoporotic isolated femur intertrochanteric fractures. Therefore, choice of the proximal femoral nail can safely be made according to surgeon preference.
목차
등록된 정보가 없습니다.
참고문헌 (25)
참고문헌 신청
Yoon BH / 2013 / Epidemiology of proximal femoral fractures in South Korea / Arch Osteoporos 8:157
Hornby R / 1989 / Operative or conservative treatment for trochanteric fractures of the femur. A randomised epidemiological trial in elderly patients / J Bone Joint Surg Br 71:619~623
Kyle RF / 1995 / Fractures of the proximal part of the femur / Instr Course Lect 44:227~253
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
Utrilla AL / 2005 / Trochanteric gamma nail and compression hip screw for trochanteric fractures:a randomized, prospective, comparative study in 210elderly patients with a new design of the gamma nail / J Orthop Trauma 19:229~233
Hornby R / 1989 / Operative or conservative treatment for trochanteric fractures of the femur. A randomised epidemiological trial in elderly patients / J Bone Joint Surg Br 71:619~623
Kyle RF / 1995 / Fractures of the proximal part of the femur / Instr Course Lect 44:227~253
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
Utrilla AL / 2005 / Trochanteric gamma nail and compression hip screw for trochanteric fractures:a randomized, prospective, comparative study in 210elderly patients with a new design of the gamma nail / J Orthop Trauma 19:229~233
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