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KMID : 0361619950300061814
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Journal of the Korean Orthopaedic Association
1995 Volume.30 No. 6 p.1814 ~ p.1819
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The Treatmen of Intertrochanteric Fractures of the Femur Using Compression Hip Screw
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김경철
최재열/김준식/박예수/제영수/류석우
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Abstract
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The intertrochanteirc fracture of the femur occurs frequently in the elderly who has osteoporosis . These fractures had been treated with many fixation devices.
Recently dynamic hip screws been commonly used. But some complications were reported by this fixation the patients who were osteoporotic and/or who had unstable type fracture.
We have analysed the roentgenograms and the medical records to study impaction degree and change of neek-shaft angle according to fracture type and degree of osteoporosis in the 35 patients wit minimum 1 year follow-up who have intertrochanteric
fracture of the femur treated with dynamic hip screws, from Jan, 1980 to Jun, 1993, retrospectively.
@ES The results obtained were as follows :
@EN 1. The most common fracture type by Bord-Griffin classification was type II, 19 cases(57%), and the most common osteoporotic by Sight's index was grade III, 21 cases(60%).
2. There were no significant differences of impaction degree and neck-shaft angle according to the fracture types or osteoporosis degrees.
3. The mean impaction degree of fracture site was 9.3mm and the mean neck-shaft angle change was 0.8°of varus angulation.
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KEYWORD
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Femur, Intertrochanteric fracture, Compression hip screw
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