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KMID : 0386720010130040338
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Journal of the Korean Hip Society
2001 Volume.13 No. 4 p.338 ~ p.345
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Treatment of Unstable Intertrochanteric Fractures of the Femur by Wayne-County reduction in Elderly patients
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Han Suk-Ku
Kim Yong-Sik
Lee Gi-Haeng
Kim Young-Hoon
Park Chul
Choi Nam-Yong
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Abstract
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Purpose: The aim of this study was to evaluated the radiological and clinical results of the treatment of unstable inertrochanteric fractures of the femur by Wayne-County reductio in elderly patients.
Materials and Methods: Forty-eight fractures were treated with a 135-degree angled compression hip screw by valgus reductin. The average patient age was 72.4(65-92) and women numbered thirtynine. All cases displyaed unstable fractures by Jensen classification. The average duration of follow-up for all fractures was fifteen months(12-41).
Results: Six patients died before the minimum one-year follow-up period had elapsed. The neckshaft angle averaged 134 degrees in the final follow-up films. The sliding length of the lag screw was 6.6 ㎜ and the penetrating length of the lag screw into the femoral head was 2.2 ㎜. The time of bony unoin was 4.2 months and the leg length discrepancy was 4 ㎜. Loss of fixation, with varus angluation of the fracture, occurred in two patients(4.8%). Migratinor nonunion of the greater trochanter developed in four cases. Among the thirty-five independent community ambulators before injury, thirty-one(88.6%) recovered by the postoperative one year follow-up.
Conclusion: Sliding compression hip screw fixation with Wayne-County reduction is a recommended method in the treatment of unstable intertrochanteric fractures of the femur in elderly patients in which it is difficult to obtain anatomical reduction.
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KEYWORD
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Femur, Unstable, Intertrochanteric fracture, Wayne-County reduction, Elderly
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