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KMID : 0386420130260010037
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Journal of the Korean Fracture Society
2013 Volume.26 No. 1 p.37 ~ p.43
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Comparative Study of Intertrochanteric Fracture Treated with the Proximal Femoral Nail Anti-Rotation and the Third Generation of Gamma Nail
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Sim Jae-Cheon
Kim Tae-Ho
Hong Ki-Do
Ha Sung-Sik
Lee Jong-Seong
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Abstract
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Purpose: To compare the result between the third generation gamma nail (gamma 3 nail) and proximal femoral nail anti-rotation (PFNA) in the treatment of unstable intertrochanteric fractures. Materials and Methods: Between March 2009 and June 2011, 47 consecutive patients with unstable intertrochanteric femoral fractures were treated with gamma 3 nail or PFNA. We reviewed 24 cases of gamma 3 nail and 23 cases of PFNA. Retrospectively, we evaluated the mean operation time, amount of bleeding, average union period, reduction status, change of neck shaft angle, Tip-apex distance, Cleveland index, sliding of lag screw and complication on set of telephone interview and outpatient. We also evaluated the postoperative capability of function and mobility, using ``Modified Koval index``. Results: There were no significant differences between the groups, which were treated with gamma 3 nail and PFNA. In addition, they did not show statistical difference. We experienced 2 cases of complication (gamma 3 nail 1 case, PFNA 1 case), which were cut-out of the femoral head. Conclusion: The gamma 3 nail and PFNA were seen with good results in the treatment of unstable intertrochanteric fracture.
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KEYWORD
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Femur intertrochanteric fracture, Gamma 3 nail, Proximal femoral nail anti-rotation
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