Comparison of Operative Methods between Retrograde and Antegrade Nailing for Ipsilateral Femoral Shaft and Neck Fracture.
10.12671/jkfs.2007.20.2.135
- Author:
Chang Wug OH
1
;
Jong Keon OH
;
Woo Kie MIN
;
Shin Yoon KIM
;
Seung Hoon BAEK
;
Byung Chul PARK
;
Hyung Soo AHN
;
Tae Gong KIM
Author Information
1. Department of Orthopedic Surgery, School of Medicine, Kyungpook National University, School of Medicine, Seoul, Korea. cwoh@knu.ac.kr
- Publication Type:Original Article
- Keywords:
Ipsilateral femoral neck and shaft fractures;
Retrograde nailing;
Antegrade nailing
- MeSH:
Agriculture;
Femoral Neck Fractures;
Femur Neck;
Humans;
Methods*;
Neck*;
Retrospective Studies
- From:Journal of the Korean Fracture Society
2007;20(2):135-140
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
PURPOSE: To compare retrospectively the antegrade and retrograde nailing in the management of ipsilateral femoral neck and shaft fractures. MATERIALS AND METHODS: Thirty-two patients (thirty-three injuries) were included in this study. Mean age of patients was 38 years-old in the antegrade nailing group (16 injuries) and 44 years-old in the retrograde nailing group (17 injuries). We compared the union of fractures and complications between two groups, and investigated the influencing factors. RESULTS: Femoral shaft fracture was united in 10 cases (63%) of antegrade group and 12 cases (71%) of retrograde group, at 28.2 and 27.3 weeks respectively. Nonunion was more prevalent in Winquist-Hansen III and IV (5 in antegrade nailing, 3 in retrograde nailing) than I and II. Femoral neck fracture was united with 1 case of nonunion in each group. Nonunion developed from Garden stage IV, but fractures of Garden stage I and II united regardless of methods. CONCLUSION: In ipsilateral femoral neck and shaft fractures, the kinds of methods did not affect the results of shaft fractures. Minimally displaced neck fractures also were not influenced by kinds of methods, but retrograde nailing may have a benefit in fixing the displaced neck fractures
