Proximal Femoral Nail for Treatment of Trochanteric Femoral Fractures
Purpose. To report outcomes of 87 consecutive patients treated with a proximal femoral nail (PFN) for trochanteric femoral fractures. Methods. 17 men and 70 women aged 58 to 95 (mean, 85) years with trochanteric femoral fractures underwent PFN fixation using an intramedullary nail, a lag screw, and...
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2007-12-01
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Series: | Journal of Orthopaedic Surgery |
Online Access: | https://doi.org/10.1177/230949900701500305 |
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doaj-620d5c1d4b9c4a979405a9a749b7b4802020-11-25T03:45:05ZengSAGE PublishingJournal of Orthopaedic Surgery2309-49902007-12-011510.1177/230949900701500305Proximal Femoral Nail for Treatment of Trochanteric Femoral FracturesT MoriharaY AraiS TokugawaS FujitaK ChataniT KuboPurpose. To report outcomes of 87 consecutive patients treated with a proximal femoral nail (PFN) for trochanteric femoral fractures. Methods. 17 men and 70 women aged 58 to 95 (mean, 85) years with trochanteric femoral fractures underwent PFN fixation using an intramedullary nail, a lag screw, and a hip pin. Fractures were classified according to the AO system; the most common fracture type was A2 (n=45), followed by A1 (n=36) and A3 (n=6). The position of the lag screw within the femoral head was measured. The lateral slide of the lag screw after fracture consolidation was measured by comparing the immediate postoperative and final anteroposterior radiographs. Results. 90% of lag screws were placed in an optimal position. The length of lateral slide of the lag screw in stable A1 fractures was significantly less than that in unstable A2 fractures; it was over 10 mm in 7 of 45 patients with A2 fractures. Cut-out of lag screw did not occur, suggesting that free sliding of the lag screw facilitates direct impaction between fragments. Conclusion. A PFN is useful for the treatment of trochanteric femoral fractures.https://doi.org/10.1177/230949900701500305 |
collection |
DOAJ |
language |
English |
format |
Article |
sources |
DOAJ |
author |
T Morihara Y Arai S Tokugawa S Fujita K Chatani T Kubo |
spellingShingle |
T Morihara Y Arai S Tokugawa S Fujita K Chatani T Kubo Proximal Femoral Nail for Treatment of Trochanteric Femoral Fractures Journal of Orthopaedic Surgery |
author_facet |
T Morihara Y Arai S Tokugawa S Fujita K Chatani T Kubo |
author_sort |
T Morihara |
title |
Proximal Femoral Nail for Treatment of Trochanteric Femoral Fractures |
title_short |
Proximal Femoral Nail for Treatment of Trochanteric Femoral Fractures |
title_full |
Proximal Femoral Nail for Treatment of Trochanteric Femoral Fractures |
title_fullStr |
Proximal Femoral Nail for Treatment of Trochanteric Femoral Fractures |
title_full_unstemmed |
Proximal Femoral Nail for Treatment of Trochanteric Femoral Fractures |
title_sort |
proximal femoral nail for treatment of trochanteric femoral fractures |
publisher |
SAGE Publishing |
series |
Journal of Orthopaedic Surgery |
issn |
2309-4990 |
publishDate |
2007-12-01 |
description |
Purpose. To report outcomes of 87 consecutive patients treated with a proximal femoral nail (PFN) for trochanteric femoral fractures. Methods. 17 men and 70 women aged 58 to 95 (mean, 85) years with trochanteric femoral fractures underwent PFN fixation using an intramedullary nail, a lag screw, and a hip pin. Fractures were classified according to the AO system; the most common fracture type was A2 (n=45), followed by A1 (n=36) and A3 (n=6). The position of the lag screw within the femoral head was measured. The lateral slide of the lag screw after fracture consolidation was measured by comparing the immediate postoperative and final anteroposterior radiographs. Results. 90% of lag screws were placed in an optimal position. The length of lateral slide of the lag screw in stable A1 fractures was significantly less than that in unstable A2 fractures; it was over 10 mm in 7 of 45 patients with A2 fractures. Cut-out of lag screw did not occur, suggesting that free sliding of the lag screw facilitates direct impaction between fragments. Conclusion. A PFN is useful for the treatment of trochanteric femoral fractures. |
url |
https://doi.org/10.1177/230949900701500305 |
work_keys_str_mv |
AT tmorihara proximalfemoralnailfortreatmentoftrochantericfemoralfractures AT yarai proximalfemoralnailfortreatmentoftrochantericfemoralfractures AT stokugawa proximalfemoralnailfortreatmentoftrochantericfemoralfractures AT sfujita proximalfemoralnailfortreatmentoftrochantericfemoralfractures AT kchatani proximalfemoralnailfortreatmentoftrochantericfemoralfractures AT tkubo proximalfemoralnailfortreatmentoftrochantericfemoralfractures |
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