KMID : 0386420130260020112
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Journal of the Korean Fracture Society 2013 Volume.26 No. 2 p.112 ~ p.117
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Fixation of the Femoral Subtrochanteric Fracture with Minimally Invasive Reduction Techniques
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Park Chul-Hyun
Ha Chul-Wung Park Sang-Jin Ko Min-Soo Sohn Oog-Jin
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Abstract
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Purpose: To evaluate the results of using minimally invasive reduction techniques in patients with femoral subtrochanteric fracture.
Materials and Methods: We retrospectively analyzed 40 patients (41 cases) with subtrochanteric fracture who underwent using minimally invasive reduction techniques. The mean age was 61.4 years (15-89 years), and the mean follow-up period was 32.7 months (12-66 months). Clinical results were assessed using the Parker-Palmer mobility score and the Salvati-Wilson hip functional score. Radiographic results were evaluated using bone union time and femur neck-shaft angle.
Results: No significant difference was observed in the pre- and postoperative Parker-Palmer mobility score. Salvati Wilson hip functional score showed more than good grade in 37 cases (90%) at the last follow-up. Union was achieved in all 41 cases at an average of 22.5 weeks (18-30 weeks). The mean femoral neck-shaft angle immediately postoperatively was 128.8 degrees (120-140 degrees), and the mean difference versus contralateral sides was 2.5 degrees varus (£6-13 degrees).
Conclusion: Fixation of femoral subtrochanteric fracture using minimally invasive reduction techniques showed excellent clinical and radiographic results and low complication rate.
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KEYWORD
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Femur, Subtrochanteric fracture, Minimal invasive reduction, Minimal invasive osteosynthesis
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