KMID : 0360720100230010001
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Journal of the Korean Society Traumatology 2010 Volume.23 No. 1 p.1 ~ p.5
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Treatment of Reverse Oblique Trochanteric Fracture with Compression Hip Screw
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Kim Dong-Hwi
Lee Sang-Hong Ha Sang-Ho You Jae-Won
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Abstract
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Purpose: To investigate the results of treatment of reverse oblique trochanteric fractures with compression hip screw.
Methods: We reviewed the results of 12 cases of reverse oblique trochanteric fracture treated with compression hip screw from January 2000 to December 2006 which could be followed up for more than 1 year. The mean follow up period was 26 months (15~40). The mean age was 48 years old. Injury mechanism was composed of 6 cases of traffic accident and 6 cases of fall down. 8 persons were man. We investigated the union time, degree of neck-shaft angle change, amount of sliding of compression hip screw, complications, functional and clinical results.
Results: 10 cases were united and the mean union time were 5 months (3~8). The mean neck-shaft angle change was 3.5 degrees (0~12). The amount of sliding of compression hip screw was 8.9 mm (2~24). There were six coxa vara, six leg due to coxa vara shortening, two nonunion, and one superficial infection. Unsatisfactory results of Jensen¡¯s social function score and Parker and Palmer¡¯s mobility score were studied.
Conclusion: The results of treatment of reverse oblique trochanteric fractures with compression hip screw were relatively unsatisfied.
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KEYWORD
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Compression hip screw, Femur, Reverse oblique fracture, Trochanteric fracture
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