The Comparison between ITST(TM) (Intertrochanteric/Subtrochanteric) & DHS (Dynamic Hip Screw) in Unstable Femur Intertrochanteric Fracture.
10.12671/jkfs.2009.22.3.131
- Author:
Ho Seung JEON
1
;
Byung Mun PARK
;
Kyung Sub SONG
;
Hyung Gyu KIM
;
Jong Ju YUN
Author Information
1. Department of Orthopedic Surgery, Kwangmyung Sung-Ae General Hospital, Gwangmyung, Korea.
- Publication Type:Original Article
- Keywords:
Unstable intertrochanteric fracture;
DHS (Dynamic Hip Screw);
ITST (Intertrochanteric/Subtrochanteric) IM nail
- MeSH:
Femur;
Hemorrhage;
Hip;
Humans;
Nails;
Postoperative Hemorrhage
- From:Journal of the Korean Fracture Society
2009;22(3):131-137
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
PURPOSE: To evaluate between DHS and ITST nail (2nd generation) on the treatment of unstable femur intertrochanteric fracture in patients over 70 years old. MATERIALS AND METHODS: 61 cases of unstable intertrochanteric fracture (grouped 37 patients with DHS and 24 patients with ITST) who were taken the operation from Mar. 2003 to Sep. 2007 were analysed regarding to union time, sliding length of lag screws, operation time, blood loss, postoperative complications and functional recovery score by Skovron. RESULTS: The mean union time was 14.7 weeks in study group (ITST). The mean union time was 16.2 weeks in control group (DHS). The lag screw slidings were 7.2 mm in study group and 8.7 mm in control group. The operation times were 57.9 min in study group and 76.9 min in control group. The amount of blood loss were 67.7 ml in study group and 227.4 ml in control group. The complications were 4 cases in study group and 4 cases in control group. The Skovron recovery scores were 76.5% in study group and 73.7% in control group. CONCLUSION: From a practical point of short operation time, less amount of bleeding and less complication, author think that the ITST nail is useful implant for treatment of unstable femur intertrochanteric fracture in patient of old age.
