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KMID : 0386720100220030216
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Journal of the Korean Hip Society
2010 Volume.22 No. 3 p.216 ~ p.221
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Treatment of Intertrochanteric Fracture of the Femur Using a Dyna Locking Trochanteric (DLT) Nail
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Kim Yong-Sik
Yoon Jae-Woong
Han Suk-Ku
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Abstract
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Objectives: We analyzed the clinical and radiological results after treatment of intertrochanteric fracture of the femur using a Dyna locking trochanteric (DLT) nail.
Methods:From March 2008 to February 2009, 36 patients (10 males and 26 females) who had at least 6 months follow-up among 43 patients were included in our study. The average age of the patients was 76.4 years (range: 65~90 years) and the average follow-up period was 13.4 months (range: 9~21 months). We evaluated the radiological results such as the neck-shaft angle and the sliding length of the lag screw at last follow-up and the clinical results such as intraoperative complications, the operation time, the postoperative blood loss and the incidence of fixation failure.
Results: The average neck-shaft angle at last follow-up was 131.1 degrees and the average sliding length of lag screw was 3.6 mm. Two cases (5.6%) of femoral shaft fracture during the insertion of a lag screw or nail happened and one case of stress fracture of the femoral neck occurred. Two cases of fixation failure developed due to deep infection or varus angulation.
Conclusions:Fixation using a DLT nail can be a good option for the treatment of intertrochanteric fractures of the femur.
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KEYWORD
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Femur, Intertrochanteric fracture, Dyna locking trochanteric nail
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