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KMID : 1028220120240020117
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Hip & Pelvis
2012 Volume.24 No. 2 p.117 ~ p.123
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Treatment of Intertrochanteric Fractures Using Targon Proximal Femoral Nails
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Park Il-Ho
Won Jong-Kyoung
Han Kye-Young
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Abstract
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Purpose: To investigate the clinical and radiologic outcome after treatment of intertrochanteric fractures of femur using targon proximal femoral nails (PFN).
Materials and Methods: One hundred fifty-five cases of intertrochanteric fracture who were treated with targon
PFN from August 2004 to June 2010 were included. There were 54 men and 101 women with a mean age of 74.1 years at the time of surgery. There were 97 cases of stable fracture and 58 cases of unstable fracture. Operation time, frequency of transfusion, weight-bearing time, ability of activity after operation, and complications were all clinically investigated. Also, the average sliding of a lag screw and average union period were radiologically investigated.
Results: The average operation time was 64 minutes and transfusion was required in 43 cases(27%). The average weight bearing time was 4.4 days. In 96 cases(62%), the pre-injury activity level was recovered. The average slide of the lag screw was 5.6 mm and the average union period was 10 weeks. There were 6 cases (3.8%) of complications including 3 cases antirotation pin cutout and 3 cases of periprosthetic fracture.
Conclusion: The treatment of intertrochanteric fractures using targon PFNs showed a satisfactory clinical outcome and a lower radiological complication rate.
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KEYWORD
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Femur, Intertrochanteric fracture, Targon proximal femoral nail
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