KMID : 0386420140270030213
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Journal of the Korean Fracture Society 2014 Volume.27 No. 3 p.213 ~ p.221
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Results of Asian Type Gamma 3 Nail in Treatment of Trochanteric Fractures
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Huang Bing-Zhe
Park Yong-Wook Park Jin-Su Noh Kyu-Cheol Kim Soung-Yon Chung Kook-Jin Kim Hong-Kyun Kim Hyong-Nyun Yoon Yong-Hyun Hwang Ji-Hyo
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Abstract
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Purpose: This study was conducted in order to demonstrate the radiologic and clinical results of using the Asian type gamma 3 nail in treatment of trochanteric fractures.
Materials and Methods: Patients underwent operations with gamma 3 nails between August 2010 and August 2012. For the radiologic evaluation, we analyzed bone quality, fracture pattern, reduction quality, union period, and position of lag screw (tip-apex distance, Cleveland index). For the clinical evaluation, we analyzed mobility score of Palmer and Parker and Jensen`s functional score.
Results: The mean union was taken at 17.4 weeks (14-25 weeks). Two cases (4.3%) underwent reoperation due to cutting out of the hip screws. The clinical outcomes of Parker and Palmer`s average mobility score changed from 7.3 to 5.8 (79%), Jensen`s functional score was 1.3 to 1.8 (72%).
Conclusion: We achieved excellent clinical and radiological outcomes; therefore, Asian type gamma 3 nail is effective in treatment of trochanteric fractures of the femur in Korea.
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KEYWORD
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Femur, Trochanteric fracture, Gamma nail
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